View Information Collection Request (ICR) Package

OMB Control No: 1505-0260	ICR Reference No: 202208-1505-006
Status: Historical Active	Previous ICR Reference No: 201905-1505-001
Agency/Subagency: TREAS/DO	Agency Tracking No: N/A
Title: Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) grant Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/22/2023
	Date Received in OIRA: 08/31/2022
Terms of Clearance: Responses to public comments updated during OMB review. The following terms of clearance continue to be relevant to this extension without change: (1) Treasury’s definition of and methodology for calculating “value.” OMB has recommended Benefit-Cost Analysis as the appropriate means of determining savings and value. We are willing to allow Treasury’s proposed approach for defining and determining value (i.e. budgetary impact analysis) for the first round of SIPPRA funding, on the condition that this approach will be revisited, prior to issuance of subsequent NOFAs, particularly if the current NOFA is only able to fund a limited number of viable projects or if it proves unworkable in other ways. (2) Definition of “Benefits.” EOP is willing to go forward without a definition of benefits in the current NOFA with the understanding that Treasury will work with OMB and OIRA to develop a definition of “benefits” if subsequent NOFAs are issued. (3) Timeframe for response from applicants. EOP is willing to go forward with the current timeframe for applicant submission with the understanding that if there are few applications, e.g. fewer than 7 submitted during this period, Treasury, in addition to revisiting the above issues, will extend the timeframe to a longer period, e.g. 180 days, in subsequent NOFAs issued.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	120	0	120
Time Burden (Hours)	2,190	0	2,190
Cost Burden (Dollars)	9,145,000	0	9,145,000

Abstract: Authorized under the Bipartisan Budget Act of 2018, the Social Impact Partnerships to Pay for Results Act (SIPPRA), amends Title XX of the Social Security Act, 42 U.S.C. 1397 et seq., to provide $100 million in funding to implement “Social Impact Partnership Demonstration Projects” (projects) and feasibility studies to assist states and local governments in applying for project funding. SIPPRA authorizes the Secretary of the Treasury (Secretary) to enter into award agreements with state or local governments for projects addressing entrenched social problems. SIPPRA requires Treasury to conduct a request for proposals for projects, make award decisions, and enter into project award agreements. Treasury is publishing a Notice of Funding Availability (NOFA) seeking applications for projects, and anticipates that ten or more persons will respond to its notice announcing availability of funding for SIPPRA projects. Although Treasury is asking applicants to use the SF-424 family of common forms for their applications, in order to effectively and efficient assess and evaluate applications and ensure that projects comply with statutory requirements, Treasury is also soliciting additional detailed information from applicants. This request only includes the burden for this additional information. The burden for the SF-424 forms is covered under OMB Control Numbers 4040-0004, 4040-0006, 4040-0007, 4040-0008, 4040-0009 and 4040-0013. The additional information includes the following components: • Notice of Intent to Apply; • Project Narrative, to include an Executive Summary; • Project Narrative Attachments, to include project budget, partnership agreements, partner qualifications, independent evaluator qualifications, evaluation design plan, independent evaluator contract, outcome valuation (for which Treasury’s SIPPRA website will provide a tool to assist applicants), legal compliance, and (optional) additional supporting documentation such as a preexisting feasibility study; • DUNS Number and SAM registration; • Copy of application proposing privileged or confidential information to be redacted; • Administrative Reporting, including Annual Performance Report, Evaluation Progress Reports, and Final Evaluation Report; • Records Retention

Authorizing Statute(s): US Code: 42 USC 1397 Name of Law: Bipartisan Budget Act of 2018

Citations for New Statutory Requirements: US Code: 42 USC 1397 Name of Law: Social Impact Partnerships to Pay for Results Act (SIPPRA)

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 24648	04/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 53052	08/30/2022
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
SIPPRA Grant Application, Recordkeeping and Reports	SIPPRA Outcome Valuation Workbook (word), SIPPRA Outcome Valuation Workbook (Excel)	,

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	120	120
Annual Time Burden (Hours)	2,190	2,190
Annual Cost Burden (Dollars)	9,145,000	9,145,000

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:

Annual Cost to Federal Government: $2,000,000

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. 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? No

Agency Contact: Nevelyn Jones 202 622-1809 nevelyn.jones@treasury.gov

View ICR - OIRA Conclusion