Agency Information Collection Activities Title: Assessing the Use of Coaching To Promote Positive Caregiver-Child Interactions in Home Visiting, 23026-23028 [2024-07009]

Download as PDF 23026 Federal Register / Vol. 89, No. 65 / Wednesday, April 3, 2024 / Notices visiting programs. One of the three quality components the study will focus on is family voice and leadership (FVL), which involves including families in decisions related to program implementation. The requested information collection will provide a better understanding of how MIECHVfunded home visiting programs currently engage families and will provide preliminary information on how FVL may influence home visiting implementation and program quality. Information collection activities include two online surveys, focus groups, and interviews. A 60-day notice was published in the Federal Register on December 5, 2023, 88 FR 84339–84340. There was one response to public comment from a home visiting model developer. The commentor expressed concerns about the estimated burden for focus group and made suggestions for language changes including use of plain language, clarifying instructions, and providing questions in advance. In response to these comments, the burden hours for focus groups and interviews were increased, and the number of items on the MIECHV Program FVL Online Survey was reduced. Recommendations for language revisions were incorporated into the revised information collection tools. An additional information collection tool was added to this ICR to facilitate the recruitment of families for participation in a focus group (Family Focus Group Recruitment Survey). Two form names were also modified slightly: the Tribal and State MIECHV Administrators Interview Guide was renamed the MIECHV Lead Interview Guide, and the LIA Program Staff Focus Group Protocol was renamed the Home Visiting Program Staff Focus Group Protocol. Need and Proposed Use of the Information: HRSA is seeking additional information about how the MIECHV program engages and supports families in leadership opportunities to inform and improve programs. HRSA intends to use this information to identify actionable strategies that MIECHV awardees and LIAs could take to engage families meaningfully and effectively in program decisions and to ensure that families’ unique strengths, needs, cultures, and preferences drive service delivery. Likely Respondents: MIECHV awardees that are states, nonprofit organizations, and tribes, LIA staff (program directors, coordinators, supervisors, and home visitors); and families who have been engaged in FVL activities by MIECHV-funded home visiting programs. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. Compared to the versions submitted for the 60-day approval process in December, estimated burden hours have increased as a result of adding an additional information collection activity and implementing the feedback provided in public comments during the 60-day comment period and pre-testing data collection protocols. The total annual burden hours estimated for this ICR are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Total responses Average burden per response (in hours) Total burden hours MIECHV Program FVL Online Survey ................................ Family Focus Group Protocol .............................................. MIECHV Lead Interview Guide ............................................ Home Visiting Program Staff Focus Group Protocol ........... Family Focus Group Recruitment Survey ........................... 1000 48 12 48 100 1 1 1 1 1 1000 48 12 48 100 0.33 1.50 1.50 1.50 0.08 330 72 18 72 8 Total .............................................................................. 1,208 ........................ 1,208 ........................ 500 Maria G. Button, Director, Executive Secretariat. ACTION: BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities Title: Assessing the Use of Coaching To Promote Positive Caregiver-Child Interactions in Home Visiting Health Resources and Services Administration (HRSA), Department of Health and Human Services. AGENCY: VerDate Sep<11>2014 18:18 Apr 02, 2024 Jkt 262001 Notice. In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA’s ICR only after the 30-day comment period for this notice has closed. DATES: Comments on this ICR should be received no later than May 3, 2024. ADDRESSES: Written comments and recommendations for the proposed SUMMARY: [FR Doc. 2024–07008 Filed 4–2–24; 8:45 am] lotter on DSK11XQN23PROD with NOTICES1 Number of responses per respondent PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under Review—Open for Public Comments’’ or by using the search function. To request a copy of the clearance requests submitted to OMB for review, email Joella Roland, the HRSA Information Collection Clearance Officer, at paperwork@hrsa.gov or call (301) 443– 3983. FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: Information Collection Request Title: Assessing the Use of Coaching to Promote Positive Caregiver-Child E:\FR\FM\03APN1.SGM 03APN1 23027 Federal Register / Vol. 89, No. 65 / Wednesday, April 3, 2024 / Notices Interactions in Home Visiting OMB No. 0906–xxxx[NEW]. Abstract: The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, authorized by Social Security Act, Title V, § 511 (42 U.S.C. 711) and administered by HRSA in partnership with the Administration for Children and Families, supports voluntary, evidence-based home visiting services during pregnancy and for parents with young children up to kindergarten entry. States, tribal entities, and certain nonprofit organizations are eligible to receive funding from the MIECHV Program and have the flexibility to tailor the program to serve the specific needs of their communities. Funding recipients may subaward grant funds to local implementing agencies to provide home visiting services to eligible families in at-risk communities. This information collection is part of the Assessing and Describing Practice Transitions Among Evidence-Based Home Visiting Programs in Response to the COVID–19 Public Health Emergency Study, which aims to identify and study practices implemented in response to the COVID–19 public health emergency that support evidence-based practice and have the potential to enhance home visiting programming. One of the practices the study identified is the use of coaching to promote caregiver-child interactions and positive caregiving skills. Coaching involves a home visitor providing instructions to the parent or caregiver as they carry out the skill and differs from a common home visiting strategy, modeling, in which home visitors first demonstrate a skill themselves before asking the parent or caregiver to try it. The purpose of this information collection is to better understand, through rapid cycle learning, how MIECHV-funded home visiting programs can implement coaching strategies during home visits. Information will be collected in four phases designed to: (1) define coaching strategies (co-definition phase), (2) identify potential refinements to improve coaching strategies (installation phase), (3) iteratively test the refinements (refinement phase), and (4) assess the potential of coaching strategies to improve service delivery and promote family engagement and family satisfaction with home visiting programs (summary phase). Data collection activities include focus groups, online questionnaires, and review of documents and administrative data. A 60-day notice published in the Federal Register on December 5, 2023, vol. 88, No. 232; pp. 84342–43. There were no public comments. One home visiting model developer requested copies of the information collection instruments. Need and Proposed Use of the Information: The COVID–19 public health emergency led the MIECHV Program to rapidly adjust practices, within the bounds of evidence-based home visiting model guidance, to reduce service delivery disruptions while protecting the health and safety of home visiting participants and the home visiting workforce. Largely prompted by the shift to virtual home visits, one of these practice changes was to use coaching to promote positive caregiving skills and family-child interactions. Home visitors suggested that using coaching strategies enhanced the way that home visitors worked with families, particularly in virtual settings when home visitors were unable to use modeling strategies (e.g., in-person demonstrations by home visitors). Some findings indicate that home visitors who used coaching perceived that it led to improved family engagement and caregiver confidence in interacting with their child. However, other findings suggest that some families may not prefer coaching over modeling, and that coaching may create burden on home visitors. As home visitors transition back to primarily in-person home visits, there is a need for more information about strategies to support the implementation of coaching to effectively promote positive caregiverchild interactions in virtual and inperson settings, while reducing home visitor burden and increasing family acceptance of this strategy. HRSA intends to use collected information to provide evidence-informed resources and strategies that MIECHV awardees can use to inform their use of coaching strategies to strengthen their home visiting services. Likely Respondents: Respondents include families who receive home visiting services and MIECHV-funded home visiting program staff, which may include program directors, managers, supervisors, and home visitors. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents lotter on DSK11XQN23PROD with NOTICES1 Form name Program Eligibility Protocol .................................................. Program Staff Focus Group Protocol 1 (Co definition Phase) .............................................................................. Program Staff Focus Group Protocol 2 (Co-definition Phase) .............................................................................. Program Staff Focus Group Protocol (Installation & Refinement Phases) ............................................................. Program Staff Focus Group Protocol (Summary Phase) .... Family Focus Group Protocol (Co-definition & Summary Phases) ............................................................................ Home Visitor Learning Cycle Form (Installation & Refinement Phases) ................................................................... Family Post-Visit Form (Refinement Phase) ....................... Focus Group Participant Characteristics Form (All Phases) VerDate Sep<11>2014 18:18 Apr 02, 2024 Jkt 262001 PO 00000 Frm 00053 Fmt 4703 Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours 16 1 16 1.00 16.0 24 1 24 1.50 36.0 24 1 24 1.50 36.0 24 24 3 1 72 24 1.00 1.00 72.0 24.0 48 1 48 1.00 48.0 40 48 120 9 6 1 360 288 120 0.17 0.08 0.08 61.2 23.0 9.6 Sfmt 4703 E:\FR\FM\03APN1.SGM 03APN1 23028 Federal Register / Vol. 89, No. 65 / Wednesday, April 3, 2024 / Notices TOTAL ESTIMATED ANNUALIZED BURDEN HOURS—Continued Number of respondents Form name Total .............................................................................. Maria G. Button, Director, Executive Secretariat. [FR Doc. 2024–07009 Filed 4–2–24; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: The Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. DATES: Comments on this ICR should be received no later than June 3, 2024. ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA Information Collection Clearance Officer, Room 14N39, 5600 Fishers Lane, Rockville, Maryland 20857. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call Joella Roland, the HRSA SUMMARY: 368 Number of responses per respondent Total responses ........................ Information Collection Clearance Officer, at (301) 443–3983. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the ICR title for reference. Information Collection Request Title: The Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System, OMB No. 0906–0017, Revision. Abstract: This request is for continued approval of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Performance Measurement Information System. The MIECHV Program is administered by the Maternal and Child Health Bureau within HRSA in partnership with the Administration for Children and Families and provides support to all 56 states and jurisdictions, as well as tribes and tribal organizations. Through a needs assessment, states, jurisdictions, tribes, and tribal organizations identify target populations and select the home visiting service delivery model(s) that best meet their needs. There is no proposed change to the previously approved information collection instruments. Over the next 3 years, as part of efforts to implement new statutory provisions enacted as part of reauthorization of the MIECHV program, HRSA intends to engage with MIECHV awardees, home visiting model developers, and federal partners to identify opportunities to reduce administrative burden related to performance reporting, to enhance performance measures to measure disparities, and to align performance measures with other programs administered by HRSA’s Maternal and Child Health Bureau. Need and Proposed Use of the Information: HRSA uses performance information to demonstrate program accountability and continuously 976 Average burden per response (in hours) ........................ Total burden hours 325.8 monitor and provide oversight to MIECHV Program awardees. The information is also used to provide quality improvement guidance and technical assistance to awardees and help inform the development of early childhood systems at the national, state, and local level. HRSA is seeking to continue collecting information on demographic, service utilization, and select clinical indicators for participants enrolled in home visiting services and a set of standardized performance and outcome indicators that correspond with the statutorily identified benchmark areas. This information will be used to demonstrate awardees’ compliance with statutory and programmatic requirements. It will also be used to monitor and provide continued oversight for awardee performance and to target technical assistance resources to awardees. Likely Respondents: MIECHV Program awardees that are states, jurisdictions, and, where applicable, nonprofit organizations providing home visiting services within states. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. lotter on DSK11XQN23PROD with NOTICES1 TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Form 1: Demographic, Service Utilization, and Select Clinical Indicators ................................................................... VerDate Sep<11>2014 18:18 Apr 02, 2024 Jkt 262001 PO 00000 Frm 00054 Number of responses per respondent 56 Fmt 4703 Sfmt 4703 Total responses 1 E:\FR\FM\03APN1.SGM 56 03APN1 Average burden per response (in hours) 560 Total burden hours 31,360

Agencies

[Federal Register Volume 89, Number 65 (Wednesday, April 3, 2024)]
[Notices]
[Pages 23026-23028]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-07009]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities Title: Assessing the Use 
of Coaching To Promote Positive Caregiver-Child Interactions in Home 
Visiting

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA 
submitted an Information Collection Request (ICR) to the Office of 
Management and Budget (OMB) for review and approval. Comments submitted 
during the first public review of this ICR will be provided to OMB. OMB 
will accept further comments from the public during the review and 
approval period. OMB may act on HRSA's ICR only after the 30-day 
comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than May 3, 
2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Joella Roland, the HRSA 
Information Collection Clearance Officer, at [email protected] or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Assessing the Use of Coaching 
to Promote Positive Caregiver-Child

[[Page 23027]]

Interactions in Home Visiting OMB No. 0906-xxxx[NEW].
    Abstract: The Maternal, Infant, and Early Childhood Home Visiting 
(MIECHV) Program, authorized by Social Security Act, Title V, Sec.  511 
(42 U.S.C. 711) and administered by HRSA in partnership with the 
Administration for Children and Families, supports voluntary, evidence-
based home visiting services during pregnancy and for parents with 
young children up to kindergarten entry. States, tribal entities, and 
certain nonprofit organizations are eligible to receive funding from 
the MIECHV Program and have the flexibility to tailor the program to 
serve the specific needs of their communities. Funding recipients may 
subaward grant funds to local implementing agencies to provide home 
visiting services to eligible families in at-risk communities.
    This information collection is part of the Assessing and Describing 
Practice Transitions Among Evidence-Based Home Visiting Programs in 
Response to the COVID-19 Public Health Emergency Study, which aims to 
identify and study practices implemented in response to the COVID-19 
public health emergency that support evidence-based practice and have 
the potential to enhance home visiting programming. One of the 
practices the study identified is the use of coaching to promote 
caregiver-child interactions and positive caregiving skills. Coaching 
involves a home visitor providing instructions to the parent or 
caregiver as they carry out the skill and differs from a common home 
visiting strategy, modeling, in which home visitors first demonstrate a 
skill themselves before asking the parent or caregiver to try it. The 
purpose of this information collection is to better understand, through 
rapid cycle learning, how MIECHV-funded home visiting programs can 
implement coaching strategies during home visits.
    Information will be collected in four phases designed to: (1) 
define coaching strategies (co-definition phase), (2) identify 
potential refinements to improve coaching strategies (installation 
phase), (3) iteratively test the refinements (refinement phase), and 
(4) assess the potential of coaching strategies to improve service 
delivery and promote family engagement and family satisfaction with 
home visiting programs (summary phase). Data collection activities 
include focus groups, online questionnaires, and review of documents 
and administrative data.
    A 60-day notice published in the Federal Register on December 5, 
2023, vol. 88, No. 232; pp. 84342-43. There were no public comments. 
One home visiting model developer requested copies of the information 
collection instruments.
    Need and Proposed Use of the Information: The COVID-19 public 
health emergency led the MIECHV Program to rapidly adjust practices, 
within the bounds of evidence-based home visiting model guidance, to 
reduce service delivery disruptions while protecting the health and 
safety of home visiting participants and the home visiting workforce. 
Largely prompted by the shift to virtual home visits, one of these 
practice changes was to use coaching to promote positive caregiving 
skills and family-child interactions. Home visitors suggested that 
using coaching strategies enhanced the way that home visitors worked 
with families, particularly in virtual settings when home visitors were 
unable to use modeling strategies (e.g., in-person demonstrations by 
home visitors). Some findings indicate that home visitors who used 
coaching perceived that it led to improved family engagement and 
caregiver confidence in interacting with their child. However, other 
findings suggest that some families may not prefer coaching over 
modeling, and that coaching may create burden on home visitors. As home 
visitors transition back to primarily in-person home visits, there is a 
need for more information about strategies to support the 
implementation of coaching to effectively promote positive caregiver-
child interactions in virtual and in-person settings, while reducing 
home visitor burden and increasing family acceptance of this strategy. 
HRSA intends to use collected information to provide evidence-informed 
resources and strategies that MIECHV awardees can use to inform their 
use of coaching strategies to strengthen their home visiting services.
    Likely Respondents: Respondents include families who receive home 
visiting services and MIECHV-funded home visiting program staff, which 
may include program directors, managers, supervisors, and home 
visitors.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install, and utilize technology and 
systems for the purpose of collecting, validating, and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Program Eligibility Protocol....              16               1              16            1.00            16.0
Program Staff Focus Group                     24               1              24            1.50            36.0
 Protocol 1 (Co definition
 Phase).........................
Program Staff Focus Group                     24               1              24            1.50            36.0
 Protocol 2 (Co-definition
 Phase).........................
Program Staff Focus Group                     24               3              72            1.00            72.0
 Protocol (Installation &
 Refinement Phases).............
Program Staff Focus Group                     24               1              24            1.00            24.0
 Protocol (Summary Phase).......
Family Focus Group Protocol (Co-              48               1              48            1.00            48.0
 definition & Summary Phases)...
Home Visitor Learning Cycle Form              40               9             360            0.17            61.2
 (Installation & Refinement
 Phases)........................
Family Post-Visit Form                        48               6             288            0.08            23.0
 (Refinement Phase).............
Focus Group Participant                      120               1             120            0.08             9.6
 Characteristics Form (All
 Phases)........................
                                 -------------------------------------------------------------------------------

[[Page 23028]]

 
    Total.......................             368  ..............             976  ..............           325.8
----------------------------------------------------------------------------------------------------------------


Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-07009 Filed 4-2-24; 8:45 am]
BILLING CODE 4165-15-P


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