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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Home Visitor Survey Baseline
Removed
0
0
0
Other-Survey
Supervisor Survey 12 Month
Removed
0
0
0
Other-Survey
Caregiver website
New
343
58
0
Other-Website
Child and Family Outcome Survey and Updating Contact Information (2.5 & 3.5 year) - MIHOPE Check-In
Modified
1434
717
0
Other-Check-In
Other-Check-in
Combined Home Visitor - Supervisor Baseline Survey
Removed
0
0
0
Other-Survey
Combined Home Visitor-Supervisor 12 Month Survey
Removed
0
0
0
Other-Survey
Community Service Provider Survey
Removed
0
0
0
Other-Survey
Direct Child Assessments
Removed
0
0
0
Other-Protocol - Child assessments
Direct assessments of caregivers - MIHOPE-K
New
1372
343
0
Other-Direct Assessment Protocol
Direct assessments of children - MIHOPE-K
New
1372
2058
0
Other-Protocol - Direct Assessments
Direct parent-child interaction
Removed
0
0
0
Other-Protocol - parent-child interaction
Family Baseline Survey
Removed
0
0
0
Other-Survey
Family Screening and Consent
Removed
0
0
0
Other-Screener
Family follow-up survey
Removed
0
0
0
Other-Survey
First Round Visits with State Administrators
Removed
0
0
0
Other-Site Visits
Home Visitor Group Interview 12 Month
Removed
0
0
0
Other-Interview
Home Visitor Individual Interview 12 Month
Removed
0
0
0
Other-Interview
Home Visitor Logs
Removed
0
0
0
Other-Logs
Other-Logs revised
Home Visitor Logs - Past 15 months
Removed
0
0
0
Other-Logs
Home Visitor Survey 12 Month
Removed
0
0
0
Other-Survey
Measuring Height and Weight
Removed
0
0
0
Other-Protocol - Child assessments
Other Home Visiting Programs Survey
Removed
0
0
0
Other-Survey
Program Manager Group Interview 12 Month
Removed
0
0
0
Other-Interview
Program Manager Survey 12 Month
Removed
0
0
0
Other-Survey
Program Manager Survey_Part 1 Baseline
Removed
0
0
0
Other-Survey
Program Manager Survey_Part 2 Baseline
Removed
0
0
0
Other-Survey
Program Manager Survey_Part 3 Baseline
Removed
0
0
0
Other-Survey
School records: data file submission
New
12
270
0
Other-Records Request
Second Round Visits with State Administrators
Removed
0
0
0
Other-Site Visits
Semi-structured interview with caregivers - MIHOPE-K
New
33
66
0
Other-Interview
State Administrator Interview 12 Month
Removed
0
0
0
Other-Interview
State Administrator Interview Baseline
Removed
0
0
0
Other-Interview
State child welfare records: data file submission
New
8
120
0
Other-Data File Submission
Structured interview with caregivers - MIHOPE-K
New
1372
1314
0
Other-Interview
Supervisor Group Interview 12 Month
Removed
0
0
0
Other-Interview
Supervisor Logs
Removed
0
0
0
Other-Logs
Supervisor Survey Baseline
Removed
0
0
0
Other-Survey
Survey of the focal children's teachers - MIHOPE-K
New
1372
686
0
Other-Survey
Telephone contact with state administrators
Removed
0
0
0
Other-Telephone Contact
Videotaped caregiver-child interactions - MIHOPE-K
New
2743
686
0
Other-Video
Visits and Calls with Local Program Directors
Removed
0
0
0
Other-Visits and Calls
Total burden requested under this ICR:
10061
6318
0
To view an IC, click on IC Title