Communities Empowering Youth (CEY) Evaluation Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Information Sheet for Grantees 9-08.pdf	Supplementary Document	Uploaded 2008-09-26	Available
CEY OMB Case Studies Part B.doc	Supporting Statement B	Uploaded 2008-07-02	Available
CEY OMB Case Studies Part A (2).doc	Supporting Statement A	Uploaded 2008-07-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
185732	Partner Organization Key Staff Interview Protocol	Other-Interview Protocol	New
185731	Partner Organization Executive Director Interview Protocol	Other-interview protocol	New
185730	Lead Organization Key Staff Interview Protocol	Other-Interview Protocol	New
185729	Lead Organization Executive Director Interview Protocol	Other-Interview Protocol	New

ICR Details

OMB Control No: 0970-0352	ICR Reference No: 200807-0970-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Communities Empowering Youth (CEY) 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: 09/30/2008
	Date Received in OIRA: 07/16/2008
Terms of Clearance: Approved as supplemented by ACF.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved
Responses	150	0	0
Time Burden (Hours)	445	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection activity proposed under this notice will obtain information about lead and partner organizations funded under the Communities Empowering Youth (CEY) program. The information collected will complement a survey (OMB No. 0970-0335) that is examining the organizational and partnership capacity-building experienced by organizations funded under the CEY program. The proposed information collection will allow in-depth examination of a select number of lead organizations and their partners.

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Authorizing Statute(s): PL: Pub.L. 107 - 116 404 Name of Law: Dept of Labor, HHS and Ed 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:
	73 FR 16860	03/31/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 34754	06/18/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Lead Organization Executive Director Interview Protocol
Lead Organization Key Staff Interview Protocol
Partner Organization Executive Director Interview Protocol
Partner Organization Key Staff Interview 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	150	0	0	150	0	0
Annual Time Burden (Hours)	445	0	0	445	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: $238,390

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: 07/16/2008

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