Grants to States for Access and Visitation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Print Copy of Local AV Survey Spreadsheet	Form	New	Repair queued
Form 1 Local Service Provider Survey	Form and Instruction	New	Available
Form 1 Print Copy of LOCAL AV SURVEY	Form	New	Available
Form 1 Local Services Providers Form	Form and Instruction	New	Available
Form 1 Print Copy of State AV Survey Spreadsheet	Form	Modified	Repair queued
Form 1 State Program Survey	Form and Instruction	Modified	Available
Form 1 Child Access Program Survey	Form and Instruction	Modified	Available
RevisedPartIILocalServiceProviderSurveyFINAL JULY 2008[1].doc	Supporting Statement B	Uploaded 2008-10-29	Available
PUBLIC COMMENTS TO FEDERAL REGISTER NOTICE.pdf	Supplementary Document	Uploaded 2008-08-20	Available
RevisedAVSurveyCoverFebruary 29 2008.doc	Supplementary Document	Uploaded 2008-08-14	Repair queued
OMB SUPPORTING STATEMENT october 2008 version 6.doc	Supporting Statement A	Uploaded 2008-10-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187256	Grants to States for Access and Visitation (Local Service Providers)	Form	New	Print Copy of Local AV Survey Spreadsheet
187256	Grants to States for Access and Visitation (Local Service Providers)	Form and Instruction	New	Local Service Provider Survey
187256	Grants to States for Access and Visitation (Local Service Providers)	Form	New	Print Copy of LOCAL AV SURVEY
187256	Grants to States for Access and Visitation (Local Service Providers)	Form and Instruction	New	Local Services Providers Form
10033	Grants to States for Access and Visitation	Form	Modified	Print Copy of State AV Survey Spreadsheet
10033	Grants to States for Access and Visitation	Form and Instruction	Modified	State Program Survey
10033	Grants to States for Access and Visitation	Form and Instruction	Modified	Child Access Program Survey

ICR Details

OMB Control No: 0970-0204	ICR Reference No: 200811-0970-002
Status: Historical Active	Previous ICR Reference No: 200604-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Grants to States for Access and Visitation
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: 04/28/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/17/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	06/30/2009
Responses	314	0	324
Time Burden (Hours)	4,710	0	4,860
Cost Burden (Dollars)	0	0	0

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Abstract: The PRWORA of 1996 provides funding for state programs to facilitate noncustodial parents' access to and visitation of their children. Formula grants are provided to each state and territory. States are required to provide OCSE - on an annual basis - with information on services funded along with the inclusion of relevant data such as the number of persons served, sources of referrals, and program outcomes.

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Authorizing Statute(s): PL: Pub.L. 104 - 193 469 Name of Law: Social Security 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 15132	03/25/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 47193	10/20/2008
Did the Agency receive public comments on this ICR? Yes

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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
Grants to States for Access and Visitation	1, 1, 1	Child Access Program Survey ,   State Program Survey ,   Print Copy of State AV Survey Spreadsheet
Grants to States for Access and Visitation (Local Service Providers)	1, 1, 1, 1	Local Services Providers Form ,   Print Copy of LOCAL AV SURVEY ,   Local Service Provider Survey ,   Print Copy of Local AV Survey Spreadsheet

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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	314	324	0	-10	0	0
Annual Time Burden (Hours)	4,710	4,860	0	-150	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Revised burden resulted from program change.

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Annual Cost to Federal Government: $24,500

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)? No

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: 11/17/2008

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