View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0338
ICR Reference No:
201404-0915-007
Status:
Historical Active
Previous ICR Reference No:
201012-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Healthy Start Evaluation and Quality Assurance
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/03/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/22/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2017
36 Months From Approved
06/30/2014
Responses
41,183
0
102
Time Burden (Hours)
20,953
0
408
Cost Burden (Dollars)
0
0
0
Abstract:
HRSA/MCHB seeks to conduct a mixed-methods evaluation to assess the effectiveness of the Healthy Start program on individual, organizational, and community-level outcomes. The information collected will be used to obtain consistent information across all grantees about Healthy Start (HS) and its outcomes and in-depth information for 15 HS communities and 15 comparison communities to support a rigorous evaluation design. Respondents include pregnant women and women of reproductive age that were served by HS, HS staff and select HS partners.
Authorizing Statute(s):
PL:
Pub.L. 101 - 239 501
Name of Law: Maternal and Child Health Services Block Grant
PL:
Pub.L. 110 - 339 122
Name of Law: Healthy Start Reauthorization
US Code:
42 USC 201
Name of Law: Public Health Service Act-
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 4476
01/28/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 22504
04/22/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Community Action Network (CAN) Survey
3
Community Action Network (CAN) Survey
Healthy Start Focus Group Protocol
Healthy Start Site Visit Protocol
National Healthy Start Program Survey (NHSPS)
2
National Healthy Start Program Survey (NHSPS)
The Preconception, Pregnancy and Parenting (3P's) Information Form
1
The Preconception, Pregnancy and Parenting (3P’s) Information Form
ICR Summary of Burden
Total Approved
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
41,183
102
0
41,081
0
0
Annual Time Burden (Hours)
20,953
408
0
20,545
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This is a revision to the existing data collection activity for Healthy Start. The purpose of the changes/adjustments was to decrease burden, standardize data collection, and capture individual level data. These changes will improve the quality of data that can be used to monitor and assess the association between program components and outcomes. The National Healthy Start Program Survey was modified to decrease the amount of time it takes grantees to complete the survey and to improve question clarity. The 3Ps form was developed to capture individual-level or program participant information that will allow grantees to perform real-time internal analysis and the Maternal and Child Health Bureau (MCHB), Division of Healthy Start Program Services (DHSPS) to pool data and get a snapshot of implementation and outcomes at both the national and project levels. The Healthy Start Community Action Network (CAN) Survey was developed and designed to collect data needed to accurately measure the size and strength of the organizational networks in the Healthy Start community. In turn, this will provide important information on the extent to which Healthy Start and other community organizations are working together to achieve common goals.
Annual Cost to Federal Government:
$1,024,086
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jodi Duckhorn 301 443-1984
Common Form ICR:
No
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:
04/22/2014
An official website of the United States government
The .gov means it's official.
The site is secure.
