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View ICR - OIRA Conclusion

OMB Control No: 0990-0460	ICR Reference No: 201812-0990-003
Status: Historical Active	Previous ICR Reference No: 201701-0990-007
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: The Pregnancy Assistance Fund (PAF) Performance, FY2017-FY2019, revised for cohort 5
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/03/2019
	Date Received in OIRA: 02/26/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved	10/31/2020
Responses	117	0	76
Time Burden (Hours)	657	0	438
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	117	76	41
Annual Time Burden (Hours)	657	438	219
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: In 2017, cohort 4 PAF grants were funded for 1 year rather than for 3 years, and a new PAF funding announcement for 2-year grants was released in late 2017 for the fifth cohort. The total number of grants funded in cohort 5 in 2018 is 23; this revision updates the burden accordingly. Measures were revised and added to reflect new language included within the most recent funding announcement. The new/revised measures reported by all grantees include changes in the types of core services that are reported, an additional metric for partnerships, additional items related to educational outcomes, maternal and child health outcomes. Revised measures reported only by grantees funding State Attorney General Offices include changes to the types of services and trainings related to violence prevention activities. More specific information is included within the supporting statement A.

Annual Cost to Federal Government: $52,000

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: Tara Rice 240 453-8123 tara.rice@hhs.gov

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