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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:
201706-0970-003
Status:
Historical Active
Previous ICR Reference No:
201508-0970-005
Agency/Subagency:
HHS/ACF
Agency Tracking No:
19416
Title:
Health Profession Opportunity Grants (HPOG) program: Third Follow-Up Data Collection
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:
09/18/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/16/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2020
36 Months From Approved
12/31/2017
Responses
3,221
0
5,966
Time Burden (Hours)
2,974
0
6,292
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. HPOG-Impact is one project within the broader portfolio of research that OPRE is utilizing to assess the success of career pathways programs and models. This strategy includes a multi-pronged research and evaluation approach for the HPOG program (including this impact study and the national implementation evaluation), as well as the Pathways for Advancing Careers and Education (PACE) study (0970-0397), to better understand and assess the activities conducted and their results. Four data collections related to this current submission were previously approved by the Office of Management and Budget (OMB) under OMB Clearance number 0970-0394. This submission seeks OMB approval for an additional follow-up data collection instrument: a 72-month follow-up survey for the HPOG-Impact study.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 Title V, Subtitle F, Sec. 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:
82 FR 3797
01/12/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 27710
06/16/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
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 36-month Control Group Follow-Up survey
HPOG-Impact 36-month Participant Follow-Up survey
HPOG-Impact 72-Month Follow-up Survey
HPOG-NIE 15-month Participant Follow-Up survey
HPOG-NIE Performance Measurement Screening Questionnaire
HPOG-NIE Performance Measurement Semi-Structured Discussion Guide
Semi-annual HPOG Program Performance Report
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
3,221
5,966
0
-2,745
0
0
Annual Time Burden (Hours)
2,974
6,292
0
-3,318
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:
Miscellaneous Actions
Short Statement:
This evaluation involves new and continuing data collection that increases the public reporting burden under this OMB number. Additionally, some data collection under this OMB number has been completed.
Annual Cost to Federal Government:
$2,186,876
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
06/16/2017
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