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Supporting and Strengthening the Home Visiting Workforce (SAS-HV) : Online Pretest of Draft Reflective Supervision Measure
Pre-testing of Evaluation Data Collection Activities
OMB: 0970-0355
IC ID: 260504
OMB.report
HHS/ACF
OMB 0970-0355
ICR 202403-0970-004
IC 260504
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:
2024-08-26 - Revision of a currently approved collection
2024-03-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx
Other-Questionnaire
Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx
Other-Questionnaire
Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx
Other-Pretesting
Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx
Other-Pretesting
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
IC Document
SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
IC Document
SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
IC Document
Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx
Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting
IC Document
Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx
Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting
IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2
IC Document
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supporting and Strengthening the Home Visiting Workforce (SAS-HV) : Online Pretest of Draft Reflective Supervision Measure
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-Questionnaire
Instrument 1_Screening questionnaire_Web-based Measure Pretesting_6.2.23.docx
Yes
Yes
Fillable Fileable
Other-Pretesting
Instrument 2_ Web-based Measure Pretesting, 5-31-23.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
125
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
163
0
0
0
0
163
Annual IC Time Burden (Hours)
61
0
0
0
0
61
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
06/02/2023
SSB GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure
SAS-HV SSB OMB for OSC2 Pre-Testing_fnl 6.2.23.docx
06/02/2023
Appendix 1: Home Visiting Applied Research Collaborative Recruitment Announcement for Web-based Measure Pretesting
Appendix 1_Web-based Measure Pretesting - Home Visiting Applied Research Collaborative Recruitment Announcement, 5-26-23.docx
06/02/2023
SSA GenIC Pretesting - SAS-HV : Online Pretest of Draft Reflective Supervision Measure v2
SAS-HV SSA OMB for OSC2 Pre-Testing_fnl 6.12.23_cln.docx
06/12/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.