Community-Based Abstinence Education

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Pre-test	Form	Modified	Available
Form 1 Follow-up	Form	New	Available
Form 1 Post Test	Form	New	Available
Supporting Statement (5).doc	Supporting Statement A	Uploaded 2009-08-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43725	Community-Based Abstinence Education (Pre-test survey)	Form	Modified	Pre-test
190225	Community Based Abstinence Education (Follow-up Test Survey)	Form	New	Follow-up
190224	Community Based Abstinence Education (Post-test survey)	Form	New	Post Test

ICR Details

OMB Control No: 0970-0272	ICR Reference No: 200908-0970-005
Status: Historical Inactive	Previous ICR Reference No: 200604-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Community-Based Abstinence Education
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 12/08/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/09/2009
Terms of Clearance: HHS has asked to withdraw this package to reconsider the methodology and use of HHS resources. If the CBAE program is funded in future fiscal years, HHS should develop a more rigorous experimental design and obtain consent from and Institutional Review Board.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved	12/31/2009
Responses	0	0	500
Time Burden (Hours)	0	0	4,500
Cost Burden (Dollars)	0	0	0

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Abstract: The Community Based Abstinence Education (CBAE) program supports grantees developing and implementing abstinenence education programs for adolescents, ages 12-18, in communities across the United States. The CBAE program office has developed a survey in order to gather program specific data on rates of abstinence pre- and post-program participation to assess key program outcomes among youth program participants. The surveys will be administered by CBAE grantees and the respondents are the youth participants in the program ages 12-18. The program office will collect and analyze the data from the grantees to establish baselines and ambitious targets for the program specific performance measure. Data analysis will help inform the monitoring of grantees for program design, program evaluation, managment improvement, service quality and grantee compliance with agreed upon goals. Results will provide valuable information for reporting program outcomes and efficiencies which can determine program impacts and effectiveness. It will also provide valuable information for policymakers and key stakeholders in the development of programs and research efforts.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: cooperative Research
  

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:
	74 FR 27038	06/05/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 39701	08/07/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Community Based Abstinence Education (Follow-up Test Survey)	1	Follow-up
Community Based Abstinence Education (Post-test survey)	1	Post Test
Community-Based Abstinence Education (Pre-test survey)	1	Pre-test

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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: There was a program change due to fundamental change in purpose. The collection was an application and now is a performance survey. There is an increase in burden hours and responses. There is no adjustment.

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Annual Cost to Federal Government: $220,000

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)? 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: 08/09/2009

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