View Information Collection Request (ICR) Package
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View Supporting Statement and Other Documents
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:
0915-0298
ICR Reference No:
202308-0915-004
Status:
Historical Active
Previous ICR Reference No:
202210-0915-006
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)
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:
12/21/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/18/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2026
36 Months From Approved
08/31/2025
Responses
9,239
0
1,400
Time Burden (Hours)
17,615
0
50,400
Cost Burden (Dollars)
0
0
0
Abstract:
This is a request by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) for Office of Management and Budget (OMB) approval to revise the collection of information from public and private agencies or organizations engaged in demonstrations, research, training, or other projects that receive funding from the Special Projects of Regional and National Significance (SPRANS) and Community Integrated Service Systems (CISS) federal discretionary grant programs, and other categorical discretionary grant programs.
Authorizing Statute(s):
PL:
Pub.L. 103 - 62 0
Name of Law: Govt. Perf. and Results Act of 1993
US Code:
42 USC 701-710
Name of Law: Title V: Maternal and Child Block Health Services Block Grant, Social Security Act
PL:
Pub.L. 111 - 352 0
Name of Law: Govt. Perf. and Results Modernization Act of 2010
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:
88 FR 28566
05/04/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 51331
08/03/2023
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Attachment B Central Forms
1
Attachment B DGIS OMB
Attachment C Program Specific Form
2
Attachment C Program Specific Form
Attachment D
3
Attachment D Additional Data Elements
Grant Report
Revised Performance Measure
1
Training 15 Performance Measure with Proposed Revisions
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
9,239
1,400
0
9,239
-1,400
0
Annual Time Burden (Hours)
17,615
50,400
0
17,615
-50,400
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:
No
Burden Reduction Due to:
Short Statement:
The current inventory for this activity is 17,616 hours, a reduction of 7,584 burden hours compared to the estimate in the previous Federal Register notice (87 FR 3313) published on January 21, 2022. Most programs have a limited number of forms assigned (5 to 7), with only Workforce and Training, EMSC, Healthy Start, and Family-to-Family programs reporting additional program-specific measures as part of these discretionary grant performance measures. The supporting statement lists the total number of respondents as 807, which is different from 9,236 listed number of responses in ROCIS and the Supporting Statement. The number of grantees listed in the supporting statement is an estimate as it fluctuates each year.
Annual Cost to Federal Government:
$1,132,512
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:
Tierra Moore 301 443-0496 tmoore@hrsa.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:
08/18/2023
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