View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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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:
0915-0335
ICR Reference No:
201703-0915-001
Status:
Historical Active
Previous ICR Reference No:
201312-0915-003
Agency/Subagency:
HHS/HSA
Agency Tracking No:
21064
Title:
Autism CARES Act Initiative 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:
07/19/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/28/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2020
36 Months From Approved
07/31/2017
Responses
177
0
107
Time Burden (Hours)
182
0
110
Cost Burden (Dollars)
0
0
0
Abstract:
The information gathered through this data collection effort will inform MCHB and its stakeholders on grantee activities and inform HHS’s Interagency Report to Congress. The respondents include project directors from the following HRSA programs: Leadership Education in Neurodevelopmental Disabilities (LEND) training programs (43 grantees), Developmental Behavioral Pediatrics Program (DBP) (10 grantees), Research Program (10 grantees), State Implementation Program (9 grantees), and Resource Centers (2 grantees).
Authorizing Statute(s):
PL:
Pub.L. 113 - 157 0
Name of Law: Autism Collaboration, Accountability, Research, Education, and Support Act of 2014
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:
81 FR 73117
10/24/2016
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 6579
01/19/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Combating Autism Act Initiative Evalutation - Training Programs - LEND
DBP Interview Protocol
R40 Interview Protocol
Research Network Interview Protocol
Research Network Questionnaire
7
Research Network Quantative Data Collection Tool
Resource Centers Interview Protocol - ITAC and SPHARC
State Implementaiton Grant Interview Protocol
State Innovation in Care Integration State Grantees Interview Protocol
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
177
107
0
70
0
0
Annual Time Burden (Hours)
182
110
0
72
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:
Yes
Burden Reduction Due to:
Using Information Technology
Short Statement:
Changes in interview protocols have either increased or decreased burdens for this ICR. A summary of changes have been attached in supplementary documents. The burden hours are slightly off due to combining the last two forms into one IC form since they both had the same burden.
Annual Cost to Federal Government:
$253,000
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]?
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:
Elyana Bowman 301 443-3983 enadjem@hrsa.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:
03/28/2017
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