Mother and Infant Home Visiting Program Evaluation (MIHOPE)

Forms and Documents

Document Name	Status
MIHOPE Check-in - Memo to OMB re Revisions to survey for 3.5 year old round 3.11.16.docx Justification for No Material/Nonsubstantive Change	2016-03-18
Attachment 3_MIHOPE Check-in 2.5 year old Assessment_revised_TRACKED.docx Supplementary Document	2015-08-19
MIHOPE Check-in - revisions to 2.5 year old survey.docx Justification for No Material/Nonsubstantive Change	2015-08-19
Attachment 4_MIHOPE Check-in Respondent Materials.pdf Supplementary Document	2015-06-08
Attachment 2_MIHOPE Phase 2 Supporting Statement A and B.docx Supplementary Document	2015-06-08
Attachment 1_MIHOPE Phase 1 Supporting Statement A and B.docx Supplementary Document	2015-06-08
MIHOPE2 follow-up survey - request for nonsubstantive changes 05mar15.docx Justification for No Material/Nonsubstantive Change	2015-04-08
MIHOPE2 responses to OMB comments on incentive memo 05mar15.docx Justification for No Material/Nonsubstantive Change	2015-04-08
MIHOPE request for incentive increase 01dec14.docx Supplementary Document	2015-04-08
MIHOPE Check-in_Supporting Statement B REVISED 27jul15clean.docx Supporting Statement B	2015-07-29
MIHOPE Check-in_Supporting Statement A REVISED 24jul15clean.docx Supporting Statement A	2015-07-29
MIHOPE Changes to Follow Up Survey-Memo to OMB-Mar2014 .docx Justification for No Material/Nonsubstantive Change	2014-03-12

IC Document Collections

IC ID	Document Title	Status
216914	Child and Family Outcome Survey and Updating Contact Information Other-Check-In	Modified
205475	Measuring Height and Weight Other-Protocol - Child assessments	Unchanged
205474	Direct Child Assessments Other-Protocol - Child assessments	Unchanged
205473	Direct parent-child interaction Other-Protocol - parent-child interaction	Unchanged
205472	Family follow-up survey Other-Survey	Unchanged
205471	Home Visitor Logs - Past 15 months Other-Logs	Unchanged
205470	Combined Home Visitor-Supervisor 12 Month Survey Other-Survey	Unchanged
205469	Combined Home Visitor - Supervisor Baseline Survey Other-Survey	Unchanged
203185	Family Screening and Consent Other-Screener	Unchanged
201664	Home Visitor Individual Interview 12 Month Other-Interview	Unchanged
201663	Home Visitor Group Interview 12 Month Other-Interview	Unchanged
201662	Supervisor Group Interview 12 Month Other-Interview	Unchanged
201661	Program Manager Group Interview 12 Month Other-Interview	Unchanged
201660	Home Visitor Logs Other-Logs	Unchanged
201659	Supervisor Logs Other-Logs	Unchanged
201658	Other Home Visiting Programs Survey Other-Survey	Unchanged
201657	Community Service Provider Survey Other-Survey	Unchanged
201656	Home Visitor Survey 12 Month Other-Survey	Unchanged
201655	Home Visitor Survey Baseline Other-Survey	Unchanged
201654	Supervisor Survey 12 Month Other-Survey	Unchanged
201653	Supervisor Survey Baseline Other-Survey	Unchanged
201652	Program Manager Survey 12 Month Other-Survey	Unchanged
201651	Program Manager Survey_Part 3 Baseline Other-Survey	Unchanged
201650	Program Manager Survey_Part 2 Baseline Other-Survey	Unchanged
201649	Program Manager Survey_Part 1 Baseline Other-Survey	Unchanged
201648	State Administrator Interview 12 Month Other-Interview	Unchanged
201647	State Administrator Interview Baseline Other-Interview	Unchanged
201646	Family Baseline Survey Other-Survey	Unchanged
200745	Visits and Calls with Local Program Directors Other-Visits and Calls	Unchanged
200744	Second Round Visits with State Administrators Other-Site Visits	Unchanged
200743	First Round Visits with State Administrators Other-Site Visits	Unchanged
200742	Telephone contact with state administrators Other-Telephone Contact	Unchanged

ICR Details

OMB Control No: 0970-0402	ICR Reference No: 201603-0970-010
Status: Historical Active	Previous ICR Reference No: 201508-0970-011
Agency/Subagency: HHS/ACF	Agency Tracking No: 21571
Title: Mother and Infant Home Visiting Program Evaluation (MIHOPE)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/23/2016
	Date Received in OIRA: 03/18/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	08/31/2018	08/31/2018
Responses	38,786	0	38,786
Time Burden (Hours)	13,311	0	13,311
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families, Office of Planning Research and Evaluation (OPRE), and Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS) have launched a national evaluation called the Mother and Infant Home Visiting Program Evaluation (MIHOPE). The evaluation was authorized by a provision in the Patient Protection and Affordable Care Act of 2010 (PPACA) (P.L. 111-148), signed by the President on March 23, 2010. Using a mix of research methods, this evaluation will inform the federal government about the effectiveness of the newly established Maternal, Infant and Early Childhood Home-Visiting (MIECHV) program in its first few years of operation, and provide information to help states develop and strengthen home visiting programs in the future. By systematically estimating the effects of home visiting programs across a wide range of outcomes and studying the variation in how programs are implemented, MIHOPE will provide valuable information on the effects of these programs on parents and children. This includes investigating the effects of home visiting on maternal and child well-being, how those effects vary for different home visiting approaches, and how variations in program design and implementation influence program fidelity and impacts.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2951 Name of Law: Patient Protection and Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 49325	08/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 32565	06/09/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 32

IC Title	Form No.	Form Name
Home Visitor Individual Interview 12 Month
Family Screening and Consent
Combined Home Visitor - Supervisor Baseline Survey
Combined Home Visitor-Supervisor 12 Month Survey
Home Visitor Logs - Past 15 months
Family follow-up survey
Direct parent-child interaction
Direct Child Assessments
Measuring Height and Weight
Child and Family Outcome Survey and Updating Contact Information
Telephone contact with state administrators
First Round Visits with State Administrators
Second Round Visits with State Administrators
Visits and Calls with Local Program Directors
Family Baseline Survey
State Administrator Interview Baseline
State Administrator Interview 12 Month
Program Manager Survey_Part 1 Baseline
Program Manager Survey_Part 2 Baseline
Program Manager Survey_Part 3 Baseline
Program Manager Survey 12 Month
Supervisor Survey Baseline
Supervisor Survey 12 Month
Home Visitor Survey Baseline
Home Visitor Survey 12 Month
Community Service Provider Survey
Other Home Visiting Programs Survey
Supervisor Logs
Home Visitor Logs
Program Manager Group Interview 12 Month
Supervisor Group Interview 12 Month
Home Visitor Group Interview 12 Month

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	38,786	38,786	0	0	0	0
Annual Time Burden (Hours)	13,311	13,311	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $800,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/18/2016

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