Evaluation of Early Learning Mentor Coaches (ELMC) Grants

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Memo requesting non-substantive change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-01-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198050	#4 - Mentor-Coach Telephone Interview Protocol Table	Other-Attachment 4. Staff Telephone Interview Protocol_110411_FI	Modified
198049	#3 - Administrator Telephone Interview Protocol Table	Other-Attachment 3. Mentor-Coach Telephone Interview Protocol_11	Modified
198048	#2 - Mentor-Coach Census Survey Protocol Table	Other-Attachment 2. Mentor-Coach Census Survey Protocol_110411_F	Modified
198047	#1 - Grantee Census Survey Protocol Table	Other-Attachment 1. Grantee Census Survey Protocol_110411_FINAL	Modified

ICR Details

OMB Control No: 0970-0399	ICR Reference No: 201201-0970-003
Status: Historical Active	Previous ICR Reference No: 201106-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of Early Learning Mentor Coaches (ELMC) Grants
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/20/2012
	Date Received in OIRA: 01/12/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	11/30/2012	11/30/2012
Responses	825	0	725
Time Burden (Hours)	510	0	460
Cost Burden (Dollars)	10,835	0	9,748

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Abstract: The Evaluation of Early Learning Mentor Coaches (ELMC) Grants will produce descriptive information that describes ELMC grant implementation, examines implementation quality, and examines the factors that appear to be related to successful mentor-coaching to provide profiles of promising mentor-coaching programs.

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Authorizing Statute(s): US Code: 42 USC 9831 Name of Law: Head Start 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

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
#1 - Grantee Census Survey Protocol Table
#2 - Mentor-Coach Census Survey Protocol Table
#3 - Administrator Telephone Interview Protocol Table
#4 - Mentor-Coach Telephone Interview Protocol Table

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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	825	725	0	100	0	0
Annual Time Burden (Hours)	510	460	0	50	0	0
Annual Cost Burden (Dollars)	10,835	9,748	0	1,087	0	0

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: #

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Annual Cost to Federal Government: $411,929

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: 01/12/2012

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