Hope II: Faith Based and Community Organization Program Evaluation Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Hope II Grant Program Evaluation Grantee 10-month Follow-up Survey	Form and Instruction	Migrated	Available
Client Satisfaction	Form and Instruction	Migrated	Available
Hope II Grant Program Evaluation 20-month Follow-up Interview	Form and Instruction	Migrated	Available
Hope II Grant Program Evaluation 10-month Follow-up Survey	Form and Instruction	Migrated	Available
AppendixH.pdf	Supplementary Document	Uploaded 2006-08-29	Available
OMB_JUSTFAITH_8_28_06.doc	Supporting Statement A	Uploaded 2006-08-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43779	Hope II: Faith Based and Community Organization Program Evaluation Study	Form and Instruction	Migrated	Hope II Grant Program Evaluation Grantee 10-month Follow-up Survey
43779	Hope II: Faith Based and Community Organization Program Evaluation Study	Form and Instruction	Migrated	Client Satisfaction
43779	Hope II: Faith Based and Community Organization Program Evaluation Study	Form and Instruction	Migrated	Hope II Grant Program Evaluation 20-month Follow-up Interview
43779	Hope II: Faith Based and Community Organization Program Evaluation Study	Form and Instruction	Migrated	Hope II Grant Program Evaluation 10-month Follow-up Survey

ICR Details

OMB Control No: 1121-0308	ICR Reference No: 200606-1121-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/OJP	Agency Tracking No:
Title: Hope II: Faith Based and Community Organization Program Evaluation Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/06/2006
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/27/2006
Terms of Clearance: Reviewed by OMB statistician. DOJ will provide protocols for site visits upon their completion

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	36 Months From Approved
Responses	575	0	0
Time Burden (Hours)	65	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is an evaluation of the HOPE II Program, which provides grants to faith-based and community organizations that serve victims of crime in urban areas. Respondents will be the grant recipients and their clients and a comparison group.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Hope II: Faith Based and Community Organization Program Evaluation Study	N/A, N/A, N/A, N/A	Hope II Grant Program Evaluation 10-month Follow-up Survey ,   Hope II Grant Program Evaluation 20-month Follow-up Interview ,   Client Satisfaction ,   Hope II Grant Program Evaluation Grantee 10-month Follow-up Survey

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ICR Summary of Burden

table that charts list 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	575	0	0	575	0	0
Annual Time Burden (Hours)	65	0	0	65	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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

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Common Form ICR:  No

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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: 06/27/2006

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