Compassion Capital Fund Impact Evaluation Process Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB Just Pkg - Part B 4-28-08.doc	Supporting Statement B	Uploaded 2008-05-16	Available
OMB Just Pkg Part A - CCF IE Process Study REV 5-14-08.doc	Supporting Statement A	Uploaded 2008-05-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183632	Compassion Capital Fund Impact Evaluation Process Study - FBCO Protocol	Other-Discussion Protocol	New
183631	Compassion Capital Fund Impact Evaluation Process Study - Intermediary Protocol	Other-Discussion Protocol	New

ICR Details

OMB Control No: 0970-0341	ICR Reference No: 200801-0970-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Compassion Capital Fund Impact Evaluation Process 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: 05/19/2008
	Date Received in OIRA: 01/31/2008
Terms of Clearance: Changes made to the original submission reflect the fact the ACF does not have the statutory authority to assure confidentiality. The Privacy Act does apply to this particular information collection because ACF is gathering data from various organizations with whom it has a contractual relationship, not from random individuals. Therefore, when addressing issues of confidentiality, ACF is reminded that no references to the law can be made as it is not applicable in this situation. Additionally, ACF is reminded that in accordance with items 10 and 11 of the Guidance on Agency Survey and Statistical Information Collections, issued in 2006, any information collection that employs statistical methods must contain a Part B submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	36 Months From Approved
Responses	130	0	0
Time Burden (Hours)	260	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is an interview protocol to be used in obtaining more detailed, in-depth operational information than can be gained from a survey from intermediaries providing capacity building services and from selected faith-based and community organizations (fbcos) that received those services. The interview protocols will be used during on-site visits with each of the 10 intermediaries involved in the CCF Impact Evaluation and at least 2 FBCOS served by each intermediary.

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Authorizing Statute(s): PL: Pub.L. 107 - 116 16 Name of Law: Dept of Labor, HHS and Ed and Related Agencies Appropriations Act
  

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 59535	10/22/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 73027	12/26/2007
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
Compassion Capital Fund Impact Evaluation Process Study - Intermediary Protocol
Compassion Capital Fund Impact Evaluation Process Study - FBCO Protocol

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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	130	0	0	130	0	0
Annual Time Burden (Hours)	260	0	0	260	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 new data collection.

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Annual Cost to Federal Government: $62,735

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: 01/31/2008

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