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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:
0970-0462
ICR Reference No:
202110-0970-005
Status:
Historical Active
Previous ICR Reference No:
202105-0970-010
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OPRE
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:
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:
10/20/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/14/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2024
07/31/2024
07/31/2024
Responses
7,298
0
11,815
Time Burden (Hours)
2,977
0
4,525
Cost Burden (Dollars)
0
0
0
Abstract:
Between August 2015 and July 2019, OMB has approved several information collection instruments, procedures and supporting materials in support of the HPOG 2.0 National and Tribal Evaluation. These include baseline data collection from all study participants, data collection protocols and procedures for the HPOG 2.0 Tribal Evaluation, and several instruments in support of the National Evaluation, including Short-Term and Intermediate Follow-up Surveys to support the HPOG 2.0 National Evaluation impact study. In July 2021, OMB approved Instrument 12a COVID-Cohort Short-term Survey (COVID-19 Cohort STS) and supporting materials. Since approval, the following events have led to the need for minor changes so some of the currently approved information collection. • OPRE’s Privacy Analyst reviewed the advance letter (Attachment K) and requested changes. An updated Attachment K is included with this request. • While preparing to program the COVID-19 Cohort STS (Instrument 12a), the team identified revisions to language that would help with the clarity of the request. The team also had a change in staffing resulting in a necessary update to contact information. An updated Instrument 12a is included with this request. • The success of the Intermediate Follow-up Survey Critical Items Only (Instrument 18a)—which was still underway at the time the COVID-19 Cohort STS was submitted to OMB for review and approval – led the team to create a similar Critical Items Instrument for the COVID-19 Cohort STS. This Critical Items Survey is labeled as Instrument 12b and is included with this request.
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:
85 FR 83586
12/22/2020
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 27624
05/21/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Instrument 12a: COVID-19 Cohort STS
Instrument 12b: HPOG 2.0 National Evaluation Intermediate Follow-up COVID-19 Cohort Short-term Survey – Critical Items Only
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
Instrument 18a: Intermediate Follow-up Survey for the National Evaluation impact study - Critical Items Only
Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
PAGES Grantee- and Participant-Level Data Collection (all grantees)
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
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
7,298
11,815
0
-4,517
0
0
Annual Time Burden (Hours)
2,977
4,525
0
-1,548
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
The original burden estimate for Instrument 12a, the COVID-19 Cohort STS, was based on a presumed sample size of 7,500 study participants, a 75 percent response rate (5,625 responses), and a 60-minute length. The revised burden estimates reflect the same total number of responses (5,625), however, the overall response rate allows for 518 interviews to be completed using the shorter, critical items version of the COVID-19 Cohort STS (Instrument 12b). The shorter interview, the subject of this nonsubstantive change request, is estimated at just 20 minutes. The requested change reduces the original burden estimate for COVID-19 Cohort STS from 1,875 hours annually to 1,851 hours annually, a burden reduction of 6.2 percent annually. Burden estimates were reduced to 0 for Instrument 1 (PAGES Participant-level baseline data collection, tribal and non-tribal grantees) and for Instruments 18 and 18a now that the study enrollment and the Intermediate Follow-up survey data collection are complete.
Annual Cost to Federal Government:
$2,915,650
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?
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:
10/14/2021