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OMB Control No: 0970-0529	ICR Reference No: 202203-0970-001
Status: Historical Active	Previous ICR Reference No: 202108-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF-CB
Title: Prevention Services Data Collection
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: 05/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/09/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2025	36 Months From Approved	07/31/2022
Responses	110	0	40
Time Burden (Hours)	3,410	0	1,240
Cost Burden (Dollars)	0	0	0

Abstract: Section 471(e) of the Social Security Act (the Act) (42 U.S.C. 671) as amended by Public Law 115-123 allows state and tribal child welfare agencies to receive reimbursement for some of the costs of providing prevention services to certain children and their parents or kin caregivers. The Act requires state and tribal child welfare agencies that provide such services to collect and report to the Administration for Children and Families (ACF) information on children receiving the prevention and family services and programs. States and tribes must report : • The specific services or programs provided, • The total expenditures for each of the services or programs provided, • The duration of the services or programs provided, and • If the child was identified in a prevention plan as a candidate for foster care: o the child's placement status at the beginning, and at the end, of the 12-month period that begins on the date the child was identified as a candidate for foster care in a prevention plan; and o whether the child entered foster care during the initial 12-month period and during the subsequent 12-month period; and • Basic demographic information (e.g., age, sex, race/Hispanic Latino ethnicity). During the first information collection period the Children’s Bureau (CB) had 42 state and tribal jurisdictions opt into the voluntary Title IV-E Prevention Services Program which included opting in to Prevention Services data collection effort. These states and tribes are in various stages of preparing for data collection, and submitting data to the CB. Data submission for these states will continue into future reporting periods. During the next reporting period, CB anticipates that approximately twelve more states and tribes will opt into the voluntary Title IV-E Prevention Services Program, and as a result, will opt into this information collection effort. These states will then begin preparing for and submitting data to the CB. However, since this program is voluntary and therefore this number could fluctuate depending on the individual priorities of child welfare jurisdictions.

Authorizing Statute(s): US Code: 42 USC 671 Name of Law: 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:
	86 FR 61276	11/05/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 13293	03/09/2022
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Prevention Services Data Collection	1	PSDC Elements

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	110	40	70
Annual Time Burden (Hours)	3,410	1,240	2,170
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: No

Burden Reduction Due to:

Short Statement: This request is to continue data collection that is currently approved under OMB # 0970-0529 as required by the Title IV-E Prevention Services legislation. This includes on-going data collection from prior respondents and new respondents. In August 2021, CB made updates to the related technical bulletin and submitted these for OMB approval. No additional changes are proposed through this request for an extension to continue data collection.

Annual Cost to Federal Government: $339,514

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? No

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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