Communities Empowering Youth (CEY) Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Response to OMB Questions - How-to - attachment 11-20-07.doc	Supplementary Document	Uploaded 2007-12-03	Available
CEY-ICR ACF Response to OMB Questions 11-27-07.doc	Supplementary Document	Uploaded 2007-12-03	Available
CEY Evaluation - OMB Part B 9-5-07.doc	Supporting Statement B	Uploaded 2007-09-06	Available
CEY Eval - Appendix to OMB Part A 9-5-07.xls	Supplementary Document	Uploaded 2007-09-06	Available
CEY Evaluation - OMB Part A 9-5-07.doc	Supporting Statement A	Uploaded 2007-09-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182163	Communities Empowering Youth (CEY) Evaluation	Other-Instrument/Survey	New

ICR Details

OMB Control No: 0970-0335	ICR Reference No: 200709-0970-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Communities Empowering Youth (CEY) Program Evaluation
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: 12/05/2007
	Date Received in OIRA: 09/27/2007
Terms of Clearance: This ICR is approved consistent with memo of 11/27/07. ACF shall revise all instruments accordingly before fielding them.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved
Responses	810	0	0
Time Burden (Hours)	608	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a survey of faith-based and community organizations that received grants under the Compassion Capital Fund Communities Empowering Youth program. The survey seeks systematic information about the organizations and the areas of organizational capacity changed as a result of receipt of the grant.

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Authorizing Statute(s): PL: Pub.L. 107 - 116 404 Name of Law: Departments of Labor, Health and
  

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:
	72 FR 30805	06/04/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 46634	08/21/2007
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
Communities Empowering Youth (CEY) Evaluation

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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	810	0	0	810	0	0
Annual Time Burden (Hours)	608	0	0	608	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: This is a survey of faith-based and community organizations that received grants under the Compassion Capital Fund Communities Empowering Youth program. The survey seeks systematic information about the organizations and the areas of organizational capacity changed as a result of receipt of the grant.

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Annual Cost to Federal Government: $123,953

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: 09/27/2007

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