Needs Assessment for Promoting Cultural Competence and Diversity in Youth Mentoring Programs Toolkit

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB_Justification 02MAY07.doc	Supporting Statement B	Uploaded 2007-06-19	Available
OMB_Justification 02MAY07.doc	Supporting Statement A	Uploaded 2007-06-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181527	Needs Assessment	Other-instrument	New
181526	Feedback Questionare	Other-instrument	New

ICR Details

OMB Control No: 0970-0329	ICR Reference No: 200708-0970-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Needs Assessment for Promoting Cultural Competence and Diversity in Youth Mentoring Programs Toolkit
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: 11/07/2007
	Date Received in OIRA: 08/09/2007
Terms of Clearance: Per the PRA, the OMB expiration date should be printed on all survey instruments. Also, ACF shall revise the race/ethnicity questions on the surveys to comply with OMB standards. These revisions should be made prior to fielding the surveys.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved
Responses	478	0	0
Time Burden (Hours)	309	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Conduct an assessment of the mentoring community's program administors to identify needs in building a toolkit of practical information and tools. The data will be used to improve mentoring programs in promoting cultural competence and diversity. FYSB will conduct an assessment of the mentoring community to identify and assess the needs for the purpose of building a toolkit of practical information and tools to assist mentoring progras in promoting cultural competence and diversity in their programs . The toolkit modules will address recruiting minority mentors assessing and matching mentors and mentees, training, education program staff and participants, and promoting ethnic identity development. The respondents are Mentoring Children and Prisoner's (MCP) grantee program administors and non-MCP mentoring program adminstrators.

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Authorizing Statute(s): PL: Pub.L. 107 - 133 439 Name of Law: Promoting Safe and Stable Families Act of 2001
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 28871	05/18/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 7999	02/22/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Feedback Questionare
Needs Assessment

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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	478	0	0	478	0	0
Annual Time Burden (Hours)	309	0	0	309	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: No

Burden Reduction Due to:

Short Statement: New study.

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Annual Cost to Federal Government: $37,000

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: 08/09/2007

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