Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program

Forms and Documents

Document Name	Status
Form 1 Community residents Form	New
Form 1 Programs Partners -Focus Group Form	New
0990-Girls at risk.doc Supporting Statement B	2010-07-23
0990-GirlsatRisk Appendix E- Unique Code Developer.doc Supplementary Document	2010-07-23
0990-Girls at riskAppendix G-Items and Sources for GEARS proposed JD-HIV Instruments July 12 2010.doc Supplementary Document	2010-07-23
0990-girlsAppendix_A 1_Overview_of_OWH's_HIV_AIDS_Programs_revised_3_10.doc Supplementary Document	2010-07-23
0990-Girls at Greater Risk Supporting Statement 5_4_10.doc Supporting Statement A	2010-07-23

IC Document Collections

IC ID	Document Title	Status
194099	Community residents Form	New
194098	Programs Partners -Focus Group Form	New
194097	Program Partner interviews Other-interview	New
194096	Program Directors Other-questionnaire	New
194095	Program staff -Process Evaluation Interview Other-survey	New
194094	Program Staff Other-survey	New
194093	Parents of program participants Other-survey	New
194092	Focus group Other-questions	New
194091	Program Participants (girls and female adolecents) Other-questions	New

ICR Details

OMB Control No: 0990-0360	ICR Reference No: 201008-0990-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program
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: Improperly submitted	Conclusion Date: 09/20/2010
	Date Received in OIRA: 08/04/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection is to gather data from grantees participating in OWH's Girls at Greater Risk program related to program efficacy. Information obtained from this data collection will be used to assist in measuring the effectiveness of OWH's efforts to reduce risk of acquiring HIV among girls and female adolescents and to increase HIV prevention knowledge among girls. All data collection forms and activities are designed within the parameters of a four-year evaluation of the Girls at Greater Risk Program.

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Authorizing Statute(s): PL: Pub.L. 105 - 277 2681 Name of Law: Omnibus Consolidated and Emergency Supplemental Appropriations Act 1999
  

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:
	75 FR 15432	03/29/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 45116	08/02/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Program Participants (girls and female adolecents)
Programs Partners -Focus Group	1	Girls at Greater Risk Focus Group Protocol for Partners
Focus group
Parents of program participants
Program Staff
Program staff -Process Evaluation Interview
Program Directors
Program Partner interviews
Community residents	1	Community Events Survey

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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: This a new collection

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Annual Cost to Federal Government: $296,806

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]? No

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: 08/04/2010

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