View Information Collection Request (ICR) Package
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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:
0915-0298
ICR Reference No:
201210-0915-002
Status:
Historical Active
Previous ICR Reference No:
200903-0915-004
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Maternal and Child Health Bureau Performance Measures for Discretionary Grants
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/20/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/15/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2016
36 Months From Approved
03/31/2013
Responses
900
0
898
Time Burden (Hours)
37,062
0
5,388
Cost Burden (Dollars)
0
0
0
Abstract:
This consolidated set of performance measures collects information from public or private agencies or organizations engaged in demonstrations, research, training, or other projects that receive funding from the Special Projects of Regional and National Significane (SPRANS) and Community Integrated Service Systems (CISS) federal and discretionary grant programs, and other categorical discretionary grant programs.
Authorizing Statute(s):
PL:
Pub.L. 97 - 35 XXI
Name of Law: Title XXI: Medicare, Medicaid, and Maternal and Child Health, Omnibus Budget Reconciliation
PL:
Pub.L. 101 - 239 501
Name of Law: Social Security Act
US Code:
42 USC 509
Name of Law: Title V: Maternal and Child Block Health Services Block Grant, Social Security 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:
77 FR 45363
07/31/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 61610
10/10/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Maternal and Child Health Bureau Performance Measures for Discretionary Grants
1, 2, 3
Detail Sheets
,
Demographic Forms
,
ADE
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
900
898
0
0
2
0
Annual Time Burden (Hours)
37,062
5,388
0
162
31,512
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The new annual estimated burden for the DGIS is 41.18 hours per respondent, and a total of 31,674 total burden hours. 162 hours are due to changes in agency discretion, the remaining 31,512 hours are due to an adjustment in OPDIV Estimate. Approximately 105 Health Start grantees will report on a new performance measure, which increased the burden by 1 hour; and approximately 57 Early Childhood Comprehensive Systems grantees will report on a new performance measure, which increased the burden by 1 hour.
Annual Cost to Federal Government:
$782,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
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:
10/12/2012
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