Project LAUNCH Cross-Site Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Passback Responses 6.28.11.doc	Supplementary Document	Uploaded 2011-06-29	Available
Project LAUNCH - Supporting Statement - Part B - 4 19 11.doc	Supporting Statement B	Uploaded 2011-04-25	Available
Project LAUNCH - Appendix B - Telephone Interview and Site Visit Consent Form - 4-25-11.doc	Supplementary Document	Uploaded 2011-04-25	Available
Project LAUNCH - Appendix A - 60-Day FRN - 2-7-11.docx	Supplementary Document	Uploaded 2011-04-25	Repair queued
Project LAUNCH - Supporting Statement - Version 2.doc	Supporting Statement A	Uploaded 2011-06-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191015	Electronic Data Reporting: Services Measures	Other-Electronic Reporting	Modified
191014	Electronic Data Reporting: Systems Measures	Other-Electronic Data Reporting	Modified
191013	Site Visit and Telephone Interview Guide	Other-Interview Protocol	Modified

ICR Details

OMB Control No: 0970-0373	ICR Reference No: 201105-0970-001
Status: Historical Active	Previous ICR Reference No: 200910-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Project LAUNCH Cross-Site Evaluation
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: 07/24/2011
	Date Received in OIRA: 05/05/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	36 Months From Approved	01/31/2013
Responses	336	0	288
Time Burden (Hours)	876	0	702
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of Project LAUNCH is to promote healthy development and wellness in children birth to 8 years of age. Evaluation findings stemming from this information collection will provide ACF and SAMHSA with ongoing information about program operations, apparent strengths and challenges, and areas where grantees would benefit from technical assistance and support. Accordingly, the evaluation will help guide policy development and program improvement at all levels. Evaluation findings will be routinely shared with Project LAUNCH grantees so that they can learn from each other, and can benefit from innovative strategies they are using in their project designs as well as how they are overcoming challenges to reaching their goals. Finally, cross-site evaluation results will support and enrich program implementation among new cohorts of grantees if Project LAUNCH is expanded.

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Authorizing Statute(s): US Code: 42 USC 290bb–32 Name of Law: Public Health Service 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:
	76 FR 6619	02/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 24887	05/03/2011
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
Site Visit and Telephone Interview Guide
Electronic Data Reporting: Systems Measures
Electronic Data Reporting: Services Measures

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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	336	288	0	0	48	0
Annual Time Burden (Hours)	876	702	0	0	174	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 submission to OMB is a revision to the OMB Control #0970-0373, approved on January 8, 2010. The instruments have not changed. There are three changes proposed - please see A1 and A15 in Supporting Statement A for those three changes.

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Annual Cost to Federal Government: $1,457,800

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]? 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: 05/05/2011

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