NonSub Change Memo - Update to Informed Consent

MEMORANDUM

TO: Josh Brammer

Office of Information and Regulatory Affairs (OIRA)

Office of Management and Budget (OMB)

FROM: Samantha Illangasekare

Office of Planning, Research and Evaluation (OPRE)

Administration for Children and Families (ACF)

DATE: August 15, 2017

SUBJECT: Non-Substantive Change Request to the Accomplishments of the Domestic Violence Hotline, Online Connections, and Text (ADVHOCaT) Project Information Collection (0970-0468)

This non-substantive change request is to make small modifications to the consent form associated with the Accomplishments of the Domestic Violence Hotline, Online Connections, and Text (ADVHOCaT) Project. The purpose of ADVHOCaT is evaluate the short term outcomes for those persons who contact The National Domestic Violence Hotline and loveisrespect helpline using the phone or online chat method of connection. For the project, the Office of Planning, Research, and Evaluation within ACF contracted with the George Washington School of Public Health. The information collection request (ICR) associated with the ADVHOCaT evaluation received OMB approval on July 13, 2017.

We are requesting this non-substantive change to the consent form as a request made by the director designee for the approval of the Certificate of Confidentiality from the National Institutes of Health. We are inserting additional information regarding the mandatory reporting requirement of the project for the voluntary disclosure of child abuse or self-harm.

Attachment C – Informed Consent of the approved ICR has been updated to reflect these requested revisions. Specifically, the following language was added:

The research team will use the Certificate of Confidentiality to resist any demands for information that would identify you. The Certificate of Confidentiality will not be used to prevent disclosure to state or local authorities of child abuse and neglect, or harm to self or others. However, please understand that a Certificate of Confidentiality does not prevent you from voluntarily sharing information about yourself in connection with your involvement in this research.

We look forward to receiving your response to this non-substantive change request.

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