NOA - MIHOPE LT Pretesting GenIC_5.17.21

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

05/17/2021

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Perryn Ashmore

FOR CLEARANCE OFFICER:

Terry Clark

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
05/06/2021
ACTION REQUESTED: Generic IC
Mother and Infant Home Visiting Program Evaluation: Kindergarten Follow-Up (MIHOPE-K)
IC TITLE:
ICR REFERENCE NUMBER:

201802-0970-003

AGENCY ICR TRACKING NUMBER:
TITLE:

21397

Pre-testing of Evaluation Data Collection Activities

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0355

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 05/31/2021

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

5,100

3,825

0

New

3,825

3,825

0

0

0

0

-1,275

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Self-Regulation Training
Approaches and
Resources to Improve
Staff Capacity for
Implementing Healthy
Marriage Services for
Youth (SARHM)
Pre-testing Request for
Strengthening
Relationship Education
and Marriage Services
(STREAMS)
Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS)-Pre-Test
Touchpoints for
Addressing Substance
Use Issues in Home
Visiting: Performance
Measurement Pilot
Mother and Infant Home
Visiting Program
Evaluation:
Kindergarten Follow-Up
(MIHOPE-K)
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
397 / 0 / 116

173 / 0 / 864

252 / 0 / 144

73 / 0 / 87

219 / 0 / 125

1,114