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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Supporting and Strengthening the Home Visiting Workforce (SAS-HV): Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting
Agency IC Tracking Number:
OPRE
IC Status:
Modified
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-
Instrument 1_Participant and Contextual Characteristics Questionnaire 3-19-24_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-
Instrument 2_Focus Group Protocol for Relevance Across Racial and Ethnic Subgroups, 1-10-24, CLEAN.docx
Yes
Yes
Printable Only
Other-
Instrument 3_ Reflective Supervision Measure, 3-19-24_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-
Instrument 4_ Participant Perspectives on Reflective Supervision Measure, 3-19-23 CLEA.docx
Yes
Yes
Printable Only
Other-
Instrument 5_Measures to Examine Convergent and Concurrent Validity, 12-15-23_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-
Instrument 6_Supervisor Questionnaire for Repeated Measures, 3-19-24_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-
Instrument 7_Supervisee Questionnaire for Repeated Measures Sample, 1-17-24, CLEAN.docx
Yes
Yes
Fillable Fileable
Other-
Instrument 8_Focus Group Protocol for Repeated Measures Supervisor Subsample, 1-10-24, CLEAN.docx
Yes
Yes
Printable Only
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:
785
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1,570
0
0
0
0
1,570
Annual IC Time Burden (Hours)
810
0
0
0
0
810
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting
SAS-HV OSC4 Draft SSA OMB 1-17-24, CLEAN.docx
01/19/2024
SSB : SAS-HV: Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting
SAS-HV OSC4 Draft SSB OMB 1-10-24 CLEAN.docx
01/19/2024
Appendices: Recruitment Materials
Recruitment appendices SAS-HV OSC4a OMB package 1-10-24, CLEAN.docx
01/19/2024
NonSub Change - SAS-HV Feedback Updates
Change Request SAS-HV 3-19-24_CLEAN.docx
03/28/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.