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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:
0970-0462
ICR Reference No:
201802-0970-001
Status:
Historical Active
Previous ICR Reference No:
201707-0970-001
Agency/Subagency:
HHS/ACF
Agency Tracking No:
Title:
Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)
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:
06/08/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/05/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2021
36 Months From Approved
06/30/2020
Responses
31,274
0
30,014
Time Burden (Hours)
11,005
0
8,590
Cost Burden (Dollars)
0
0
0
Abstract:
The ACF Office of Planning, Research and Evaluation (OPRE) has developed a multi-pronged research and evaluation portfolio for the HPOG 2.0 Program to better understand and assess the activities conducted and their results. This submission is in support of two components of the evaluation portfolio, the HPOG 2.0 National Evaluation and HPOG 2.0 Tribal Evaluation. OMB has previously approved several information collection requests under OMB Control Number 0970-0462 in support of both the National and Tribal evaluations. Under this information collect request, ACF seeks approval for the National Evaluation impact study’s Short-Term Follow-up Survey, to be conducted 15 months after randomization.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B)
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 41269
08/30/2017
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 5104
02/05/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
13
IC Title
Form No.
Form Name
*NOT NEW* Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation
Instrument 2: Screening Interview to identify respondents for the HPOG 2.0 National Evaluation first-round telephone interviews
Instrument 3: HPOG 2.0 National Evaluation first-round telephone interviews with management, staff, partners, and staffstakeholders
Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews
Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
PAGES Grantee- and Participant-Level Data Collection (all grantees)
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
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
31,274
30,014
0
-3,290
4,550
0
Annual Time Burden (Hours)
11,005
8,590
0
1,960
455
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 is an additional information collection request under OMB #0970-0462. The burden estimates include estimates for the new HPOG 2.0 National Evaluation Short –Term Follow-up Survey, the subject of this information collection request. It also includes changes to the previously approved burden estimates. The previous burden estimates were approved and covered the first three years of study enrollment under the HPOG 2.0 grants. The tribal and non-tribal grantees will enroll participants over a four and a half year period. The previously approved burden estimates covered the first three years of the study; this revised burden estimate covers the next three years—incorporating the last year and a half of enrollment. As a result, there are higher enrollment projections over the next three years and, by extension, the number of participants expected to enroll in HPOG 2.0 and complete the baseline intake form (Instrument 1) is higher for both the tribal and non-tribal grantees.
Annual Cost to Federal Government:
$4,910,849
Does this IC contain surveys, censuses, or employ statistical methods?
No
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:
02/05/2018