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Home Visitor Focus Group Protocol
Home Visiting Assessment of Implementation Quality Study: Understanding Supervisor Supports in Home Visiting
OMB: 0906-0100
IC ID: 267995
OMB.report
HHS/HRSA
OMB 0906-0100
ICR 202405-0906-004
IC 267995
( )
Documents and Forms
Document Name
Document Type
Form 4
Home Visitor Focus Group Protocol
Form and Instruction
4 Home Visitor Focus Group Protocol
Appendix F Instrument 4 Home Visitor Focus Group Protocol.docx
Form and Instruction
4 Home Visitor Focus Group Protocol
Appendix F Instrument 4 Home Visitor Focus Group Protocol (08012024).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Home Visitor Focus Group Protocol
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form and Instruction
4
Home Visitor Focus Group Protocol
Appendix F Instrument 4 Home Visitor Focus Group Protocol (08012024).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
50
0
0
0
Annual IC Time Burden (Hours)
75
0
75
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.