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:
0970-0398
ICR Reference No:
201408-0970-005
Status:
Historical Active
Previous ICR Reference No:
201401-0970-001
Agency/Subagency:
HHS/ACF
Agency Tracking No:
21236
Title:
Personal Responsibility Education Program (PREP) Multi-Component Evaluation
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:
11/17/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/04/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2017
36 Months From Approved
11/30/2016
Responses
100,352
0
100,340
Time Burden (Hours)
36,943
0
36,931
Cost Burden (Dollars)
1,124
0
1,124
Abstract:
The Patient Protection and Affordable Care Act, signed into law in March of 2010, established the Personal Responsibility Education Program (PREP) which funds programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects. The goal of the PREP Multi-Component Evaluation will be to document how programs funded through the State PREP program are designed and implemented in the field and to assess selected PREP-funded programs' effectiveness. The evaluation has three main components: (1) the Design and Implementation Study; (2) the Performance Analysis Study; and (3) the Impact and In-depth Implementation Study. The PREP program has multiple components. However, this ICR is specifically related to a second round of data collection conducted for the evaluation's Design and Implementation Study (DIS). The Design Survey phase of the DIS component was implemented across all State PREP grantees. The Implementation Survey phase of the DIS will provide a detailed description of how a sub-set of four states have created structures and supports to assist program providers in implementing evidence-based programs with quality and fidelity to their designs.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 3590
Name of Law: Patient Protection and Affordable Care Act (ACA)
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:
78 FR 62637
10/22/2013
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 51172
08/27/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
23
IC Title
Form No.
Form Name
Baseline Survey
Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators
Discussion Guide for Use with Program Directors
Discussion Guide for Use with Program Staff
Discussion Guide for Use with School Administrators
Discussion Guide for use with Macro-Level Coordinators
Implementation Survey Interview Topic Guide (Provider-level Respondents)
Implementation Survey Interview Topic Guide (State-level Respondents)
Implementation site data collection
New Instrument #10: Program Attendance Data Collection Protocol
New Instrument #1: Entry Survey (CPREP Participants)
New Instrument #2: Exit Survey (CPREP Participants)
New Instrument #3: Performance Reporting System Data Entry Form
New Instrument #4: Implementation Site Data Collection Protocol
New Instrument #7: Master List of Topics for Staff Interviews
New Instrument #8: Staff Survey
New Instrument #9: Focus Group Discussion Guide
New Instruments 5, 6, 12: First Follow-Up Surveys
New Instruments 5,6,12: Second Follow-Up Survey
Participant entry survey
Participant exit survey
Performance Reporting System Data Entry Form
Sub-awardee data collection and reporting
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
100,352
100,340
0
12
0
0
Annual Time Burden (Hours)
36,943
36,931
0
12
0
0
Annual Cost Burden (Dollars)
1,124
1,124
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 request is for additional data collection activities under OMB #0970-0398.
Annual Cost to Federal Government:
$2,645,321
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:
Molly Buck 202 205-4724 mary.buck@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:
09/04/2014
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