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  
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