State Child Access Program Survey

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
10032	State Child Access Program Survey	Migrated

ICR Details

OMB Control No: 0970-0204	ICR Reference No: 200301-0970-004
Status: Historical Active	Previous ICR Reference No: 199906-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: State Child Access Program Survey
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/03/2003
	Date Received in OIRA: 01/30/2003
Terms of Clearance: The request to reinstate the old survey for one year, and approve the new survey for FY 2003, 2004, and 2005 is granted on the following conditions: 1) OCSE will include the following language in the instruction sheet of the survey: "'Increased NCP parenting time with children' is defined as an increase in the number of hours, days, weekends, and/or holidays as compared to parenting time prior to the provision of access and visitation services." 2) OCSE will delete the optional outcomes from the survey. 3) Burden estimates are updated to reflect the collection of data for two periods in 2003 to 9,720 hours (4,860 hours x2). OCSE should submit a change in burden hours through a change worksheet (OMB 83-C) for 2004 when only one set of data is collected. In addition, changes in the percentage of responses collected electronically should also be submitted via a change worksheet.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2006	06/30/2006
Responses	1	0	0
Time Burden (Hours)	9,720	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 provides funding for state programs to facilitate noncustodial partents' access to and visitation of their children. Formula grants are provided to each state and territory. The Act also provides that regulations define states' requirements for monitoring, evaluating, and reporting. States are required to provide OCSE -- on an annual basis -- with information on services funded along with the inclusion of relevant data such as the numbers of persons served, sources of referrals, and program outcomes. State compliance...

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

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
State Child Access Program Survey

---

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	0	0	1	0	0
Annual Time Burden (Hours)	9,720	0	0	9,720	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 01/30/2003

---