Maternal, Infant and Early Childhood Home Visiting Program- FY11 FOA

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FOA1 Home Visiting Program FY11 Competitive FOA	Form and Instruction	New	Available
Subtitle L PPACA Maternal, Infant, and Early Childhood Home Visiting Program.doc	Supplementary Document	Uploaded 2011-05-13	Available
Justification Memo-FY11 Competitive FOA_5 3 11.docx	Supplementary Document	Uploaded 2011-05-13	Available
Supporting Statement- Home Visiting Program_FY11 Competitive FOA_5 2 11 (2).docx	Supporting Statement A	Uploaded 2011-05-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197715	Home Visiting Program FY11 Competitive FOA	Form and Instruction	New

ICR Details

OMB Control No: 0915-0339	ICR Reference No: 201105-0915-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Maternal, Infant and Early Childhood Home Visiting Program- FY11 FOA
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/27/2011
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/27/2011
	Date Received in OIRA: 05/17/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	6 Months From Approved
Responses	30	0	0
Time Burden (Hours)	3,840	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request is the application for HRSA's Maternal, Infant, and Early Childhood Home Visiting Program, which is designed: (1) to strengthen and improve the programs and activities carried out under Title V; (2) to improve coordination of services for at risk communities; and (3) to identify and provide comprehensive services to improve outcomes for families who reside in at risk communities.

Emergency Justfication: HRSA is requesting emergency processing procedures for the FY 2011 Competitive FOA because the applications for FY 2011 funding must be submitted and reviewed before the expiration of the normal time limits under regulations at 5 CFR Part 1320 and to ensure that successful applicants receive funding before the beginning of the 2011 fiscal year. The Fiscal Year 2011 Competitive FOA must be made available in May 2011, to allow states the requisite time needed to plan and implement programs likely to achieve the legislatively mandated benchmarks for demonstrating improvements among eligible families participating in the states' home visiting programs. Emergency processing is necessary because of the critical timing of this request for grantees.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2951 Name of Law: Patient Protection and Affordable Care Act of 2010
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 2951 Name of Law: Patient Protection and Affordable Care Act of 2010

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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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Home Visiting Program FY11 Competitive FOA	FOA1	FY11 Competitive FOA

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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	30	0	30	0	0	0
Annual Time Burden (Hours)	3,840	0	3,840	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: This is a program change of a total estimated 3,840 hours for grantees to complete the FY11 Competitive FOA in order to receive additional grant funding.

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Annual Cost to Federal Government: $3,561

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: 05/17/2011

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