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 ICR - OIRA Conclusion
OMB Control No:
0970-0628
ICR Reference No:
202408-0970-011
Status:
Historical Active
Previous ICR Reference No:
202405-0970-008
Agency/Subagency:
HHS/ACF
Agency Tracking No:
Title:
Office of Community Services Affordable Housing and Supportive Services Demonstration 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:
10/07/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/03/2024
Terms of Clearance:
Approved consistent with the understanding that in the next revision/extension of the package (for 2025 versions and onwards), the agency will update the race/ethnicity question in this information collection to be in compliance with the updated SPD 15 (effective as of March 28, 2024).
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2027
36 Months From Approved
10/31/2024
Responses
1,474
0
2,361
Time Burden (Hours)
1,411
0
2,175
Cost Burden (Dollars)
0
0
0
Abstract:
The Office of Community Services (OCS), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting approval of revisions to the Office of Community Services Affordable Housing and Supportive Services Demonstration information collection. This information collection was originally approved for 6 months as an emergency approval to satisfy a request in House Report 117-403 for a report on the results of the demonstration within one year of the award of grants for the program. OCS requests to extend the approval in order to continue reporting on the findings of the demonstration program, monitoring program performance, and supporting program improvement. The program received additional appropriations in FY 2024. In addition to extending the approval, OCS seeks to update the burden estimates to accommodate an anticipated increase in the number of grant recipients, as well as to collect additional follow-up responses to the instruments examining service receipt and self-sufficiency for individuals. Finally, OCS has made updates to approved forms in order to accommodate the universe of future grant recipients and in response to feedback received during the 60-day comment period.
Authorizing Statute(s):
US Code:
42 USC 1310
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:
89 FR 49878
06/12/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 71371
09/03/2024
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
2023 Version – Semi-Annual Quantitative Report MANDATORY
2023 Version – Semi-Annual Quantitative Report OPTIONAL
2024 Version – Semi-Annual Quantitative Report MANDATORY
2024 Version – Semi-Annual Quantitative Report OPTIONAL
Interviews with Caseworkers
Interviews with Program Directors
Quarterly PPR Collections
Resident Focus Group
Self-Sufficiency Matrix
Service Receipt Questionnaire
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
1,474
2,361
0
-887
0
0
Annual Time Burden (Hours)
1,411
2,175
0
-764
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This request is to revise and extend approval of the data collection under OMB #0970-0628 to collect follow up data from respondents, continue monitoring progress of the program, and provide follow up reporting on the results of the demonstration. It provides revised semi-annual report forms to accommodate the universe of potential activities of future grant recipients by drawing on the full spectrum of items included in CSBG reporting, which grant recipients are required to complete as CSBG eligible entities.
Annual Cost to Federal Government:
$43,000
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.
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
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:
09/03/2024
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