Supporting Family Economic Well-Being through Home Visiting (HomeEc) – Early Childhood Home Visiting Special Topics Substudy

Formative Data Collections for ACF Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1 - HomeEc Program Eligibility Screener_revised Dec2022_clean.docx Other-Screener
HomeEc OSC6a_0970-0356_SSA GenIC_Dec2022 2nd revision_clean.docx SSA - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC IC Document
HomeEc OSC6a_0970-0356_SSB GenIC_Dec2022 2nd revision_clean.docx SSB - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC IC Document
Appendices A and B_Recruitment_Invite_Reminder Emails_revised Dec2022_clean.docx Appendices - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC IC Document

Information Collection (IC) Details

IC Title:	Supporting Family Economic Well-Being through Home Visiting (HomeEc) – Early Childhood Home Visiting Special Topics Substudy	Agency IC Tracking Number:	OPRE

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener			Instrument 1 - HomeEc Program Eligibility Screener_revised Dec2022_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC	HomeEc OSC6a_0970-0356_SSA GenIC_Dec2022 2nd revision_clean.docx	12/15/2022
SSB - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC	HomeEc OSC6a_0970-0356_SSB GenIC_Dec2022 2nd revision_clean.docx	12/15/2022
Appendices - HomeEc Early Childhood Home Visiting Special Topics Substudy Formative GenIC	Appendices A and B_Recruitment_Invite_Reminder Emails_revised Dec2022_clean.docx	12/15/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.