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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:
0970-0394
ICR Reference No:
201305-0970-001
Status:
Historical Active
Previous ICR Reference No:
201206-0970-010
Agency/Subagency:
HHS/ACF
Agency Tracking No:
19416
Title:
Health Profession Opportunity Grants (HPOG) program
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:
08/12/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/07/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2016
24 Months From Approved
10/31/2014
Responses
15,929
0
10,314
Time Burden (Hours)
8,212
0
4,559
Cost Burden (Dollars)
0
0
0
Abstract:
ACF is implementing a multi-pronged research and evaluation approach for the HPOG program to better understand and assess the activities conducted and their results. The current submission is in support of the HPOG National Implementation Evaluation (NIE) and the HPOG Impact Study. Together, HPOG-NIE and HPOG-Impact will collect data to document and demonstrate how effectively grantees implement the HPOG program and to assess how variations in program services affect program outcomes and impacts. As such, HPOG-NIE and HPOG-Impact will fill a void in the sectoral training and career pathways literature both about program effectiveness and about which types of programs or program components are most effective.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 5507
Name of Law: Patient Protection and Affordable Care 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 75437
12/20/2012
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 26373
05/06/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
16
IC Title
Form No.
Form Name
HPOG-Impact 15-month Control Group Member Follow-Up survey
HPOG-Impact 15-month Participant Follow-Up survey
HPOG-Impact Implementation interview guide for HPOG program management
HPOG-Impact Implementation interview guide for HPOG program staff
HPOG-Impact Implementation interview guide for instructors
HPOG-Impact Implementation interview guide for partnering employers
HPOG-NIE 15-month Participant Follow-Up survey
HPOG-NIE Employer survey
HPOG-NIE Follow-Up Phone Call Protocol for the Stakeholder/Network survey
HPOG-NIE Grantee survey
HPOG-NIE Management and Staff survey
HPOG-NIE Sampling Questionnaire for the HPOG surveys
HPOG-NIE Stakeholder/Network survey
Semi-annual HPOG Program Performance Report
Supplemental Baseline Questions (grantees)
Supplemental Baseline Questions (program participants and control group members)
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
15,929
10,314
0
5,615
0
0
Annual Time Burden (Hours)
8,212
4,559
0
3,653
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:
No
Burden Reduction Due to:
Short Statement:
This is a request to add additional questions to an already approved collection.
Annual Cost to Federal Government:
$3,853,411
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]?
Yes
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:
Steve Hanmer 202 401-5651 Steven.Hanmer@ACF.hhs.gov
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:
05/06/2013
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