Appendix D_Proivders Telephone Screener Instructions

OMB Control Number: 0970-0531

Expiration date: 7/31/2022

Appendix D

Providers Telephone Screener Instructions

Communications Focus Groups for Remaking the Safety Net

Paperwork Reduction Act of 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering information to provide constituent research designed to understand target audiences with experience with economic and social safety net programming. The focus group and research will help identify experiences and perception of participants, and identify ways for the Office of Family Assistance (OFA) to produce communications messaging about safety net programming in a clear and resonant manner. The focus group will assist the program office in; (1) gathering feedback on safety net programming, (2) creating resonant communications messages, and (3) identifying trustworthy and relevant channels for communication with program service providers and beneficiaries. Public reporting for this collection of information is estimated to average 25 minutes per respondent, including time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is not required to retain a benefit. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # for this collection is 0970-0531 and the expiration date is 7/31/2022. If you have any comments on this collection of information, please contact Lizeth Hester, Program Specialist, Training and Technical Assistance - Office of Family Assistance, Lizeth.Hester@acf.hhs.gov (202) 205-8283. 

INSTRUCTION: IF CONTACTED BY TELEPHONE - PLEASE READ INTRODUCTION TEXT AS WRITTEN TO INITIAL CONTACT

Hello, my name is___________ and I am calling from _________, an independent marketing research firm. We are conducting a brief market research study about social service programs. May I speak with someone in the organization who might be interested in participating in this research?

INSTRUCTION: IF CONTACT REFUSES AT ANY POINT, ASK IF ANOTHER PROVIDER EMPLOYEE MIGHT CONSIDER. DO NOT RECRUIT MORE THAN ONE PARTICIPANT. IF INITIAL CONTACT HEDGES PLEASE READ THE FOLLOWING

Please be assured this is not a sales call and we are not trying to sell anything. We are just conducting a brief survey.

INSTRUCTION: PLEASE RECORD ONE RESPONSE

Yes, I will connect you	1	RECORD & CONTINUE
Not available, can I take a message?	2	LEAVE A MESSSAGE
No one like that in this organization/locale	3	ASK FOR A REFERRAL AS OUTLINED BELOW, THEN THANK & TERMINATE
Do Not Know / No / Refused	4	THANK & TERMINATE

INSTRUCTION: IF REFERRED TO SOMEONE ELSE IN THE AGENCY — PLEASE RECORD AND CALL. DO NOT ACCEPT REFERRALS OF INDIVIDUALS WHO DO NOT WORK AT THEIR PLACE OF BUSINESS

Name:

Locale:

Telephone Number:

(including area code)

INSTRUCTION: ONCE CORRECT PERSON IS REACHED, PLEASE READ AS WRITTEN

Hello, my name is___________ and I am calling from _________, an independent marketing research firm. We are conducting a brief market research study about social service programs for the federal government. (I can assure you that your participation will in no way impact your organizations’ eligibility for grants, contracts, etc.) Are you available and interested in participating in this research?

INSTRUCTION: RECORD ONLY ONE RESPONSE

Yes	1	RECORD & CONTINUE
No	2	ASK FOR AN INTERNAL REFERRAL — RECORD REFERRAL NAME & TELEPHONE NUMBER ABOVE. THANK & TERMINATE

1. INSTRUCTION: RECORD RESPONSE AND EITHER CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

2. INSTRUCTION: RECORD RESPONSE AND EITHER CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

Faith-Based Organizations

3. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

4. INSTRUCTION: RECORD VERBATIM RESPONSE

5. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

6. INSTRUCTION: RECORD VERBATIM RESPONSE

7. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

8. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE; SKIP TO QR

Social Enterprise Questions

9. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

10. INSTRUCTION: RECORD ALL THAT APPLY; RECRUIT A MIX

11. INSTRUCTION: RECORD VERBATIM

12. INSTRUCTION: RECORD VERBATIM

13. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE; SKIP TO QR

Government Organization/Human Service Practitioners Questions

14. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

15. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

16. INSTRUCTION: RECORD VERBATIM; CONTINUE

[Continued Questions for Participants Qualifying for Faith-Based Organizations, Social Enterprise Organizations, or Government Organizations)

17. INSTRUCTION: RECORD ALL THAT APPLY AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

18. INSTRUCTION: RECORD RESPONSE AND CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

19. INSTRUCTION: RECORD RESPONSE; RECRUIT A MIX; CONTINUE OR THANK AND TERMINATE BASED ON RESPONSE

20. INSTRUCTION: RECORD ONE RESPONSE

21. INSTRUCTION: RECORD ONE RESPONSE

22. INSTRUCTION: RECORD RESPONSE; CHECK FOR ARTICULATION

INSTRUCTION: CHECK QUOTA

INVITATION

INSTRUCTION: CONFIRM INTEREST IN PARTICIPATION; INFORM OF INCENTIVE; CAPTURE CONTACT INFORMATION; PROVIDE CONTACT INFORMATION; SEND CONFIRMATION