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OMB Control No: 0970-0379	ICR Reference No: 202203-0970-008
Status: Historical Active	Previous ICR Reference No: 201905-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: ANA
Title: Project Outcomes Assessment Survey
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: 06/06/2022
	Date Received in OIRA: 03/30/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	36 Months From Approved	06/30/2022
Responses	28	0	85
Time Burden (Hours)	170	0	510
Cost Burden (Dollars)	0	0	0

Abstract: The information collected by the Project Outcome Assessment Survey (POAS) is needed for two main reasons: 1) to collect crucial information required to report on the Administration for Children and Families (ACF) Administration for Native Americans' (ANA) established Government Performance and Results Act (GPRA) measures, and 2) to properly abide by ANA's congressionally-mandated statute (42 United States Code 2992 et seq.) found under the section titled ‘Evaluation’ in the Native American Programs Act of 1974, as amended, which states that ANA will evaluate projects assisted through ANA grant dollars “including evaluations that describe and measure the impact of such projects, their effectiveness in achieving stated goals, their impact on related programs, and their structure and mechanisms for delivery of services.” The information collected with this survey will fulfill ANA's statutory requirement. This request is for a revision to the approved collection under OMB #0970-0379. ANA proposes the following changes to the POAS: • Removed several questions that were determined to be superfluous and not reviewed by analysts. • Added more in-depth qualitative questions • Clarified some questions that were noted as ambiguous. Attachment A provides an overview of the changes.

Authorizing Statute(s): US Code: 42 USC 2992 Name of Law: Native American Programs 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:
	87 FR 3562	01/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 18370	03/30/2022
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Project Outcome Assesment Survey (POAS)

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	28	85	-57
Annual Time Burden (Hours)	170	510	-340
Annual 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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Adjustments to the POAS form were made to allow for ease in completion of the end of project survey. This information collection compliments the On-Going Progress Report (OMB #: 0970-0452). Questions in the POAS were eliminated, re-organized and re-numbered to consolidate questions. For example, some questions were removed because they are no longer analyzed by ANA or the program no longer exists. Also, questions were rephrased for clarification purposes with few additional requests to the primary content. As previously approved questions have been eliminated, renumbered or replaced, there should be no considerable increase or decrease in burden to the grantee. Therefore, the burden estimate provided remains consistent at six hours. Overall burden in ROCIS has been updated to appropriately reflect a total burden of 510 hours over a three year period, and therefore an average of 170 hours per year.

Annual Cost to Federal Government: $13,400

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

View ICR - OIRA Conclusion