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 Generic ICR - OIRA Conclusion
OMB Control No:
0990-0421
ICR Reference No:
201704-0990-009
Status:
Historical Active
Previous ICR Reference No:
201403-0990-004
Agency/Subagency:
HHS/HHSDM
Agency Tracking No:
OS/ASPE
Title:
ASPE Generic Clearance for the Collection of Qualitative Research and Assessment
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/02/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/28/2017
Terms of Clearance:
Previous terms continue: HHS will submit the individual generic ICs along with the short supporting statement for review. OMB will respond with questions or approval within 5 business days.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2017
07/31/2017
07/31/2017
Responses
747
0
747
Time Burden (Hours)
933
0
747
Cost Burden (Dollars)
0
0
0
Abstract:
The Office of the Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services (HHS) is requesting a generic clearance for purposes of conducting qualitative research to gain a better understanding of emerging health policy issues, develop future intramural and extramural research projects, and to ensure HHS leadership, agencies and offices have recent data and information to inform program and policy decision-making.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
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:
79 FR 2852
01/16/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 17154
03/27/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
A Scan of the Status of States' Integration of Human Services and Health Insurance Programs
Building Capacity to Use Linked Early Childhood Administrative Data for Program Improvement and Broader Research Initiatives(BCULD)
Examining the Use of Climate Change Health Indicators by Health Departments in Adaptation Planning
Foster Care and Substance Use Survey
Long Term Care- Electronic Focus Group
Million Hearts Social Network Analysis-Key Informant Interviews
Potential PFL-eligible low-income mothers
Providing Insight into how the Safer Sex Intervention Works: Understanding Experiences of Youth and Health Educators
Understanding Changes to Local Health Department Clinical Service Provision
Understanding How Families Access and Use Long-Term Care Services
Using a Positive Deviance Framework to Learn about Successful Local Health Department Billing Practices
Youth Engagement Strategies – Key Informant Interviews
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
747
747
0
0
0
0
Annual Time Burden (Hours)
933
747
0
0
186
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:
Annual Cost to Federal Government:
$600,000
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:
Sherette Funn-Coleman
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:
04/28/2017
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