View Information Collection Request (ICR) Package

OMB Control No: 0970-0462	ICR Reference No: 201904-0970-006
Status: Historical Active	Previous ICR Reference No: 201809-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]
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: 07/24/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2019
Terms of Clearance: Note that based on the findings from the pilot test, ACF should submit the revised, final Intermediate Follow-up Survey to OMB as a non-substantive change request before fielding it.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	06/30/2021
Responses	21,040	0	31,300
Time Burden (Hours)	9,780	0	11,044
Cost Burden (Dollars)	0	0	0

Abstract: The National and Tribal Evaluations of the Health Profession Opportunity Grants (HPOG) program, known as the HPOG 2.0 Evaluation is funded by the Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS). The HPOG 2.0 Evaluation includes evaluations of tribal grantees (Tribal Evaluation) and non-tribal grantees (National Evaluation).This statement supports the request for a third revision to the data collection plans for the HPOG 2.0 Evaluation, previously approved under OMB Clearance No. 0970-0462. For the National Evaluation, this information collection request covers instruments for the descriptive evaluation, the impact evaluation, and the cost-benefit analysis study. The eight instruments included in this request are: Five instruments for the descriptive evaluation (Instruments 13-17): - Screening Interview Guide, Second-round Interviews, - Second-round Telephone Interview Guide, - Program Operator Interview Guide for systems study, - Partner Interview Guide for systems study, and - Participant In-depth Interview Guide. Two instruments for the impact evaluation (Instruments 18 and 19): - Intermediate Follow-up Survey, - Phone-based Skills Assessment Pilot One instrument for the cost-benefit analysis study (Instrument 20): - Program cost survey

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:
	83 FR 66715	12/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 16870	04/23/2019
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	21,040	31,300	-10,260
Annual Time Burden (Hours)	9,780	11,044	-1,264
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: 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 eight new data collection tools that are the subject of this information collection request. This request also includes an additional 94 burden hours associated with the previously approved Short-term Follow-up Survey. The increase is due to the fact that the final enrollment targets were still estimates at the time that the package for approval of the Short-term Follow-up Survey (Instrument #12) was submitted for review. The total enrollment for the cohorts included in that sample was slightly higher than 13,000 estimated, thus there will be slightly more completed interviews. Under the first round HPOG 1.0 impact study ACF added a long-term follow-up study to measure impacts six years after random assignment (approved under OMB Control # 0970-0394). ACF may opt to do the same for the second round of HPOG grants as part of the HPOG 2.0 National Evaluation impact study. In order to ensure that the interviewers can reach the study participants for any subsequent information collection efforts, it is important to maintain updated contact information once the initial 36-month follow-up period ends. Therefore, ACF seeks approval increase the burden for the previously approved contact update form (Instrument 5b).

Annual Cost to Federal Government: $4,717,923

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

View ICR - OIRA Conclusion