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OMB Control No: 0990-0452	ICR Reference No: 201912-0990-001
Status: Historical Active	Previous ICR Reference No: 201704-0990-005
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Federal Evaluation of Making Proud Choices! (MPC!)
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: 04/09/2020
	Date Received in OIRA: 03/09/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved	08/31/2020
Responses	200	0	3,086
Time Burden (Hours)	100	0	1,393
Cost Burden (Dollars)	0	0	0

Abstract: The federal evaluation of Making Proud Choices! (MPC!) is being conducted in 39 schools nationwide. The data collected from the baseline and follow-up instruments will be used to describe the characteristics of the study sample of youth, being used in the models for estimating program impacts, and provide a detailed understanding of program implementation. The revision is requested to update the burden to reflect an additional cohort of youth (estimated total of 600 youth over 3 years or 200 youth annually) from the current sites, to expand the data collection period to allow for collection of the 9 month follow-up from the additional cohort, and to update the burden estimate to reflect that the second follow-up survey (15 months post-baseline) was dropped. No changes to the actual content of the 9 month follow-up survey tool have been proposed as part of this revision request.

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act Section 301

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:
	84 FR 69755	12/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 10702	02/25/2020
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	200	3,086	-619	-2,267
Annual Time Burden (Hours)	100	1,393	-310	-983
Annual Cost Burden (Dollars)	0	0	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: OPA estimates 200 youth annually (up to 600 youth over 3 years) would receive the 9-month follow-up survey/questionnaire during the requested ICR revision/extension period, with a burden per survey of 30 minutes, and thus a total of 100 hours annual burden is anticipated to be associated with this ICR extension with change. The adjustments in burden reflect the miscellaneous actions. First, OPA (formerly OAH) already concluded the collection of 5 information collections under the current valid ICR and therefore does not request or require extension of the following 5 information collections: Baseline Survey of impact study participants, Master Topic Guide for Staff Interviews, Staff Survey, Program Attendance Data Collection Protocol, Program Fidelity Checklist, and the Youth Focus Group. Next, the 9-month post-test survey participant numbers were reduced to reflect a final single cohort. In addition, OPA did not fund collection of the 15-month follow-up survey/questionnaire, so the burden associated with this information collection is not included in the burden estimate for the extension with change.

Annual Cost to Federal Government: $132,014

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]? No

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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