View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0990-0452	ICR Reference No: 202007-0990-002
Status: Historical Inactive	Previous ICR Reference No: 201912-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Federal Evaluation of Making Proud Choices! (MPC!)
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: Improperly submitted and continue	Conclusion Date: 08/26/2020
	Date Received in OIRA: 08/03/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023	01/31/2023
Responses	200	0	200
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	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: 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? Yes

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

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