View Information Collection Request (ICR) Package
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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 Generic ICR - OIRA Conclusion
OMB Control No:
0970-0558
ICR Reference No:
202307-0970-014
Status:
Historical Active
Previous ICR Reference No:
202306-0970-012
Agency/Subagency:
HHS/ACF
Agency Tracking No:
Title:
Generic for ACF Program Monitoring Activities
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:
08/01/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/31/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2023
11/30/2023
11/30/2023
Responses
4,500
0
4,500
Time Burden (Hours)
45,000
0
45,000
Cost Burden (Dollars)
2,184,300
0
2,184,300
Abstract:
This information collection request (ICR) is for a new overarching generic clearance. The proposed Generic for ACF Program Monitoring Activities would allow Administration for Children and Families (ACF) program offices to collect standardized information from recipients that receive Federal funds to ensure oversight, evaluation, support purposes, and stewardship of Federal funds. The information is necessary to ensure compliance with Federal and programmatic requirements, monitor progress on recipient activities, and determine and respond to recipient needs such as Training and Technical Assistance (T/TA).
Authorizing Statute(s):
None
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 41241
07/09/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 55461
09/08/2020
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
27
IC Title
Form No.
Form Name
Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children
M-16
Annual Data Collection on Sexual Abuse and Sexual Harassment Involving UC
Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet
Community Services Block Grant (CSBG) Work Plan Template
Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast
1
LIHWAP Forecast
Low Income Household Water Assistance Program (LIHWAP) Tribal Implementation Check-In
Monitoring the Status of Required Licensure
Office of Grants Management Financial Monitoring Review
1
Document Request List
Office of Head Start Disaster Recovery Improper Payment Reviews
1
Disaster Supplement Payment Management Reconciliation Example
Office of Head Start Improper Payment Reviews – Update 2023
1
Payment Management Reconciliation Instrument
Office of Head Start Survey on Background Checks and Staffing
Office of Head Start Survey on COVID-19 Mitigation Plan
Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements
Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements
Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements
Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements
Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ)
Office of Refugee Resettlement Key Personnel Minimum Qualification Checklist and Attestation
Office of Refugee Resettlement Refugee Career Pathways Case File Requirements
Office of Refugee Resettlement Refugee Career Pathways Case File Requirements
Office of Refugee Resettlement Refugee Family Child Care Microenterprise Development File Requirements
Office of Refugee Resettlement Refugee Individual Development Accounts Program Pre-Monitoring Questionnaire
Office of Refugee Resettlement Refugee Microenterprise Development Case File Requirements
Office of Refugee Resettlement Services to Afghan Survivors of Combat Program Notification Letter and Pre-Monitoring Questionnaire
1
SASIC PMQ
Office of Refugee Resettlement Waiver Request Form
Office of Refugee Resettlement's Staff Questionnaire - Interpreter
M-11P
Staff Questionnaire - Interpreter Questionnaire
Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT)
Survivors of Torture Integrated Care Continuum (SOT-ICC)
1
Survivors of Torture (SOT) Integrated Care Continuum (ICC)
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
4,500
4,500
0
0
0
0
Annual Time Burden (Hours)
45,000
45,000
0
0
0
0
Annual Cost Burden (Dollars)
2,184,300
2,184,300
0
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:
This request is for a new overarching generic clearance.
Annual Cost to Federal Government:
$200,000
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:
Camille Wilson 202 565-0162 camille.wilson@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:
07/31/2023