OPRE Study: Evaluation of Project Connect [Implementation Study]

Forms and Documents

Document Name	Status
Appendix I. IRB Approval Letter.docx Supplementary Document	2021-06-03
Appendix H. Certificate of Confidentiality.docx Supplementary Document	2021-06-03
Appendix G. Informed Consent for Staff.docx Supplementary Document	2021-06-03
Appendix F. Informed Consent for Parents_Program Participants_round x_clean.docx Supplementary Document	2021-06-03
Appendix E. Outreach Phone Call for Parents_Program Participants_round x_clean.docx Supplementary Document	2021-06-03
Appendix D. Services as Usual Recruitment Flyer Text_round x_clean.docx Supplementary Document	2021-06-03
Appendix C. Consent Form for to Release Parent_Program Participant Contact Information_round x_clean.docx Supplementary Document	2021-06-03
Appendix B. Outreach Email for staff not connected to via program_agency_round x_clean.docx Supplementary Document	2021-06-03
Appendix A. Outreach Email for staff connected to via program_agency_round x_clean.docx Supplementary Document	2021-06-03
Project Connect - SSB_round x_clean.docx Supporting Statement B	2021-06-03
Project Connect - SSA_round xi_clean.docx Supporting Statement A	2021-06-03

IC Document Collections

IC ID	Document Title	Status
247727	Focus Group Guide for Families Other-Focus Group Guide	New
247726	Interview Guide for Families Other-Interview Guide	New
247725	Interview Guide for Other Stakeholders (Behavioral Health and Judicial Stakeholders) Other-Interview Guide	New
247724	Focus Group Guide for Staff (Project Connect and Child Welfare Agency Staff) Other-Focus Group Guide	New
247723	Interview Guide for Administrators (Project Connect, Child Welfare Agency, and Child Welfare Central Referral Unit) Other-Interview Guide	New

ICR Details

OMB Control No:	ICR Reference No: 202106-0970-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: OPRE Study: Evaluation of Project Connect [Implementation Study]
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/08/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	30	0
Time Burden (Hours)	40	0
Cost Burden (Dollars)	0	0

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Abstract: The Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the Department of Health and Human Services (HHS) proposes to collect information to assess the implementation of Project Connect, a comprehensive home visitation intervention that provides home-based services and treatment to child welfare-involved, substance-affected families with children and adolescents ages 0 to 17. The implementation study will support a planned impact evaluation that will rely on administrative data to examine the impact of the program on child welfare outcomes. Information collection would include interviews with child welfare agency and program administrators, focus groups with program and child welfare agency staff, interviews and focus groups with participants, and interviews with other program stakeholders. The implementation study will also include direct observations of program staff meetings, program delivery, and judicial hearings.

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Authorizing Statute(s): US Code: 42 USC 676 Name of Law: Title IV-E of the Social Security 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:
	86 FR 14928	03/19/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 30463	06/08/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Focus Group Guide for Families
Focus Group Guide for Staff (Project Connect and Child Welfare Agency Staff)
Interview Guide for Administrators (Project Connect, Child Welfare Agency, and Child Welfare Central Referral Unit)
Interview Guide for Families
Interview Guide for Other Stakeholders (Behavioral Health and Judicial Stakeholders)

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ICR Summary of Burden

	Total Request	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	30	0	0	30	0	0
Annual Time Burden (Hours)	40	0	0	40	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $228,357

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

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? No

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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: 06/08/2021

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