OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Head Start Evaluation of a Trauma-Informed Care Program

OMB 0970-0590 · HHS/ACF.

OMB 0970-0590

Latest Forms, Documents, and Supporting Material

Document Name
Appendix C Teacher Consent 111221.docx Supplementary Document
Appendix B Coach Consent 111221.docx Supplementary Document
Appendix A Director Consent 111221.docx Supplementary Document
Supporting Statement B_OHS TIC Prog Eval_111221_rev.docx Supporting Statement B
Supporting Statement A_OHS TIC Prog Eval_111221.docx Supporting Statement A
Teacher Focus Group Other-Focus Group Guide
Teacher Satisfaction Survey Other-Survey
Ecological Momentary Assessment (EMA) Survey (teachers only) Other-Survey
Professional Self-Care Scale (PSCS) (teachers only) Other-Self-Care Scale (PSCS)
Coach Interview Other-Interview Guide
Coach Satisfaction Survey Other-Survey
Coaching Logs Other-Logs
Coach/Teacher Background Form Other-Background Form
Site Administrator Interview Other-Interview
Site Application Form (site administrators) Other-Application
Attitudes Related to Trauma-Informed Care (ARTIC) Questionnaire (all site staff) Other-Questionnaire
Trauma-Informed System Change Instrument (TISCI) Questionnaire (all site staff) Other-Questionnaire

All Historical Document Collections

202112-0970-007

Approved with change

New collection (Request for a new OMB Control Number)

2021-12-14