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:
201711-0970-001
Status:
Historical Active
Previous ICR Reference No:
201607-0970-008
Agency/Subagency:
HHS/ACF
Agency Tracking No:
21236
Title:
Personal Responsibility Education Program (PREP) Multi-Component Evaluation
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/09/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/27/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2021
12 Months From Approved
02/28/2018
Responses
325
0
165,442
Time Burden (Hours)
244
0
46,268
Cost Burden (Dollars)
0
0
1,124
Abstract:
The Family and Youth Services Bureau (FYSB) and the Office of Planning, Research, Evaluation (OPRE) in the Administration for Children and Families (ACF) are requesting a one-year extension without change of a currently approved information collection (OMB No. 0970–0398). The purpose of the extension is to complete the ongoing follow-up data collection for the Personal Responsibility Education Program (PREP) Multi-Component Evaluation, which was designed to document how PREP programs are designed and implemented in the field, collect performance measure data for PREP programs, and assess the effectiveness of selected PREP-funded programs. The PREP Multi-Component Evaluation contains three components: A Design and Implementation Study, a Performance Analysis Study, and an Impact and In-Depth Implementation Study. Data collection related to both the Design and Implementation Study and Performance Analysis Study is complete. This request for a one-year extension without change is limited to data collection activities for the Impact and In-Depth Implementation Study, which is being conducted in four sites. The proposed extension is necessary to complete ongoing follow-up data collection. The resulting data will be used in a rigorous program impact analysis to assess the effectiveness of each program in reducing teen sexual activity and associated risk behaviors.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 2953
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:
82 FR 37453
08/10/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 56030
11/27/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
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
Entry Survey (CPREP Participants)
Exit Survey (CPREP Participants)
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 #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
Participant entry survey
Participant exit survey
Performance Reporting System Data Entry Form
Performance Reporting System Data Entry Form
Second Follow-Up Survey
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
325
165,442
0
-165,117
0
0
Annual Time Burden (Hours)
244
46,268
0
-46,024
0
0
Annual Cost Burden (Dollars)
0
1,124
0
-1,124
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Data collection for the majority of the ICs under 0970-0398 is complete. This request is for a one-year extension to complete follow up survey data collection. There are no changes to the follow-up surveys from what was previously approved.
Annual Cost to Federal Government:
$501,005
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.
Yes
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:
11/27/2017
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