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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:
0970-0514
ICR Reference No:
202004-0970-003
Status:
Historical Active
Previous ICR Reference No:
201807-0970-006
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OPRE
Title:
Evaluation of the Family Unification Program
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/06/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/06/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2021
09/30/2021
09/30/2021
Responses
8,073
0
8,073
Time Burden (Hours)
849
0
849
Cost Burden (Dollars)
0
0
0
Abstract:
The Evaluation of the Family Unification Program study was approved on September 18, 2018. Since approval, we recruited four sites to participate in the study, which is less than our goal of 6-10 sites. We now have the opportunity to recruit additional sites. With our four current sites, we have completed the recruitment interviews with staff, the first site visit (to set up the evaluation) and have collected housing status forms, referral forms and dashboards from each of the sites. Through these activities, we received feedback that the sites wanted the referral form to be simplified and shortened. This nonsubstantive change request is to make some updates to the Referral Form (Appendix P) and the Housing Status Form (Appendix O) based on feedback. Additionally, many of the sites are currently dealing with issues that have to do with the COVID-19 pandemic. As a result, an outreach letter has been updated to acknowledge that they may be dealing with additional challenges related to the COVID-19 pandemic.
Authorizing Statute(s):
US Code:
42 USC 626
Name of Law: Title IV-E of the Social Security 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 381
01/03/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 32128
07/11/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
21
IC Title
Form No.
Form Name
Appendix A: Guide for Recruitment with PHA and PCWA Administrators
Appendix B: Guide to Develop an Evaluation Plan for PCWA FUP Management
Appendix C: Guide to Develop an Evaluation Plan for PHA FUP Management
Appendix D: Guide for Implementation Study for PCWA Management
Appendix E: Guide for Implementation Study for PHA Management
Appendix F: Guide for Implementation Study for CoC Management
Appendix G: Guide for Implementation Study for Referral Provider Administrators
Appendix H: Guide for Implementation Study with PCWA FUP Management (Second)
Appendix I: Guide for Implementation Study for PHA FUP Management
Appendix J: Guide for Implementation Study Focus Groups with PHA Frontline Workers
Appendix K: Guide for Implementation Study for Parents (Second, Third)
Appendix L: Guide for Implementation Study Focus Groups with Frontline Workers
Appendix M: Guide for Implementation Study for PCWA FUP Management (Third)
Appendix N: Guide for Implementation Study for Service Provider Management
Appendix O: Housing Status Form
Appendix P: Referral Form
Appendix Q: Randomization Tool
Appendix R: Housing Assistance Questionnaire
Appendix S: Ongoing Services Questionnaire
Appendix T: Dashboard
Appendix U: Administrative Data List
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
8,073
8,073
0
0
0
0
Annual Time Burden (Hours)
849
849
0
0
0
0
Annual Cost Burden (Dollars)
0
0
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:
No
Burden Reduction Due to:
Short Statement:
This is a new information collection request.
Annual Cost to Federal Government:
$450,346
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]?
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?
Yes
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:
04/06/2020
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