(PREP) State Personal Responsibility Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Performance Progress Report	Form and Instruction	Modified	Repair queued
SupportingStatementPREP11-29-2010.doc	Supporting Statement A	Uploaded 2010-12-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193975	Performance Progress Report	Form and Instruction	Modified	Performance Progress Report
193975	Performance Progress Report		Modified
193974	State Plan	Instruction	Modified
193973	Application	Instruction	Modified

ICR Details

OMB Control No: 0970-0380	ICR Reference No: 201012-0970-006
Status: Historical Active	Previous ICR Reference No: 201007-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: (PREP) State Personal Responsibility Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/28/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2011
Responses	236	0	236
Time Burden (Hours)	5,664	0	5,664
Cost Burden (Dollars)	0	0	0

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Abstract: OMB approval is requested for the application requirements and a program related document for the awarded States and Territories. The Personal Responsibility Education Program (PREP), was initiated when the President signed into law the Patient Protection and Affordable Care Act on March 23, 2010. This act adds a new formula grant program, section 513, to Title V of the Social Security Act (42 U.S.C. 701 et seq) as amended by sections 2951 and 2952(c). Pursuant to the Act, "Personal Responsibility Education," for purposes of this program means a program to educate adolescents on both abstinence and contraception to prevent pregnancy and sexually transmitted infections (STIs); and at least three adulthood preparation subjects. The application collection tool includes five components that require OMB approval in order to determine if the applicant has an understanding and the resources to implement PREP.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 513 Name of Law: Personal Responsibility Education
  

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
	Other Documents for OIRA Review

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 57034	09/17/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 74055	11/30/2010
Did the Agency receive public comments on this ICR? No

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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
Application
Performance Progress Report	1	Performance Progress Report
State Plan

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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	236	236	0	0	0	0
Annual Time Burden (Hours)	5,664	5,664	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $6,000

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]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 12/28/2010

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