45 CFR Part 95, Subpart F--Automatic Data Processing Equipment & Services--Condition for Federal Financial Participation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
45cfrpart95ombsupportingstatement Dec 2007.doc	Supporting Statement A	Uploaded 2007-12-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183070	Service Agreements		New
183069	Emergency Funding Requests		New
183068	Biennial Reports		New
183067	Advance Planning Document		New
10450	RFP and Contract		Modified

ICR Details

OMB Control No: 0992-0005	ICR Reference No: 200712-0992-001
Status: Historical Active	Previous ICR Reference No: 200503-0992-001
Agency/Subagency: HHS/OFA	Agency Tracking No:
Title: 45 CFR Part 95, Subpart F--Automatic Data Processing Equipment & Services--Condition for Federal Financial Participation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/21/2008
	Date Received in OIRA: 12/17/2007
Terms of Clearance: Approval is granted for a three year extension based on the current regulations and submission requirements and based on the understanding that nothing in this ICR is changing except for the burden estimate.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved	04/30/2008
Responses	235	0	260
Time Burden (Hours)	5,715	0	5,751
Cost Burden (Dollars)	0	0	0

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Abstract: These rules establish the reporting requirements by which States request Federal financial participation (FFP) in the cost of acquiring ADP equipment and services (State public assistance agencies administering the TANF, SACWIS, CSE and Medicaid Programs).

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Authorizing Statute(s): US Code: 42 USC 626(b) Name of Law: null
  

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 40307	07/24/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 62657	11/06/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
RFP and Contract
Advance Planning Document
Biennial Reports
Emergency Funding Requests
Service Agreements

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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	235	260	0	0	-25	0
Annual Time Burden (Hours)	5,715	5,751	0	0	-36	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

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: $2,116,212

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

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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: 12/17/2007

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