Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
Instrument 1. Program Recruitment and Eligibility Screener.docx Other-Screener
Instrument 2. Interview guide for needs identification.docx Other-Interview Guide
Instrument 3. Discussion guide for strategic planning meetings.docx Other-Discussion Guide
Instrument 4. Interview Guide for Learning Cycles.docx Other-Interview Guide
Instrument 5. Caregiver participant survey for learning cycles.docx Other-Survey
Instrument 6. Staff survey for learning cycles.docx Other-Survey
HomeEc OSC3 Formative ACF Program Support_0970-0531_SSA GenIC.docx SSA - Program Support GenIC: HomeEc Formative Evaluation IC Document
HomeEc OSC3 Formative ACF Program Support_0970-0531_SSB GenIC_CLEAN.docx SSB - Program Support GenIC: HomeEc Formative Evaluation IC Document
Appendix A. Invitation to Participate in Recruitment Screener.docx Appendix A. Invitation to Participate in Recruitment Screener IC Document
Appendix B. Formative Evaluation Information.docx Appendix B. Formative Evaluation Information IC Document

Information Collection (IC) Details

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.