Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project

Forms and Documents

Document Name	Status
HV REACH NonSub Change Request 6.30.25.docx Justification for No Material/Nonsubstantive Change	2025-07-01
NonSub Change - Update to ACF ICs - Protecting Women and DEI EOs - 04.25.2025.docx Justification for No Material/Nonsubstantive Change	2025-04-24
51320 HV REACH_SSB_NonSub_6.30.25_clean.docx Supporting Statement B	2025-07-01
51320 HV REACH_SSA_NonSub_6.30.25_clean.docx Supporting Statement A	2025-07-01
Appendix D. Study FAQs for families.docx Supplementary Document	2024-09-09
Appendix C. Home visiting program recruitment email.docx Supplementary Document	2024-09-09
Appendix B. Centralized intake admin recruitment email.docx Supplementary Document	2024-09-09
HV-REACH CI Study FAQs for staff_Clean (1).docx Supplementary Document	2025-04-23

IC Document Collections

IC ID	Document Title	Status
270765	Instrument 7: Participant Characteristics Form Other-Characteristics Form	Unchanged
270764	Instrument 6: Family Interview Protocol Other-Interview	Modified
270763	Instrument 5: Home Visitor and Other Staff Interview Protocol Other-Interview	Unchanged
270762	Instrument 4: Home Visiting Program Director and Other Staff Interview Protocol Other-Interview	Modified
270761	Instrument 3: Document Review Request Other-Document Review Request	Unchanged
270760	Instrument 2: Centralized Intake Administrator and Other Staff Interview Protocol Other-Interview	Unchanged
270759	On-site coordination Other-On-site coordination	Modified
270758	Instrument 1: Centralized Intake Administrator Screening Talking Points or Screening Email with Questions Other-Intake Screener	Unchanged

ICR Details

OMB Control No: 0970-0638	ICR Reference No: 202506-0970-022
Status: Received in OIRA	Previous ICR Reference No: 202502-0970-054
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/02/2025

	Requested	Previously Approved
Expiration Date	01/31/2026	01/31/2026
Responses	394	352
Time Burden (Hours)	314	251
Cost Burden (Dollars)	0	0

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Abstract: The HV-REACH project team received approval to conduct case studies in October 2024 with up to seven sites. Updates were approved in June 2025 to implement changes in response to priorities of the current administration. Currently, we have completed interviews with four sites and are in the process of recruiting the remaining three sites. Based on current data collection, we are requesting to increase the number of respondents for some instruments and including additional programs from specific sites. These changes are based on feedback from sites and for data quality.

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Authorizing Statute(s): US Code: 42 USC 711 Name of Law: Social Security Act, Title V, §511
  

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:
	89 FR 56384	07/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 74213	09/12/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Instrument 1: Centralized Intake Administrator Screening Talking Points or Screening Email with Questions
Instrument 2: Centralized Intake Administrator and Other Staff Interview Protocol
Instrument 3: Document Review Request
Instrument 4: Home Visiting Program Director and Other Staff Interview Protocol
Instrument 5: Home Visitor and Other Staff Interview Protocol
Instrument 6: Family Interview Protocol
Instrument 7: Participant Characteristics Form
On-site coordination

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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	394	352	0	42	0	0
Annual Time Burden (Hours)	314	251	0	63	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: Based on current data collection, we are requesting to increase the number of respondents for some instruments and including additional programs from specific sites. These changes are based on feedback from sites and for data quality.

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Annual Cost to Federal Government: $799,296

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)? Yes

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: 07/02/2025

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