Evaluation of Pregnancy Prevention Approaches - First Follow-up

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PPA-Supporting Statment B_FU data collection_to OMB_051412.docx	Supporting Statement B	Uploaded 2012-05-15	Available
0990-0382Attachment H_ Combined.pdf	Supplementary Document	Uploaded 2012-03-29	Available
PPA-Supporting Statement A_FU data collection_response to OMB_051412.docx	Supporting Statement A	Uploaded 2012-05-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201762	Princeton Center for Leadership Training /TeenPEP	Other-instrument	New
201761	Live the Life Ministries/WAIT Training	Other-instrument	New
201760	Engender Health	Other-instrument	New
201759	Children Hopital of Los Angeles/Project AIM	Other-response	New
201758	Ohio Health/T.O.P.P.	Other-Survey	New
192281	Oklahoma Institute Child Advocacy (OICA)	Other-survey	Modified
186736	Chicago Public Schools	Other-survey	Modified

ICR Details

OMB Control No: 0990-0382	ICR Reference No: 201203-0990-004
Status: Historical Active	Previous ICR Reference No: 201109-0990-003
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluation of Pregnancy Prevention Approaches - First Follow-up
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/15/2012
	Date Received in OIRA: 03/30/2012
Terms of Clearance: This information collection request is approved as revised by HHS. In addition to the previous terms of clearance, which continue to apply, HHS use a nonsubstantive change request to update the instruments to reflect the results of cognitive testing of the questions identified during the review process. Further, HHS will provide to OMB its evaluation of the results of the use of differential incentive amounts at the sites participating in this study. HHS will ensure in future packages that all planned incentives are fully described in the supporting statement and associated with the approval of the survey round for which they apply.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	09/30/2014
Responses	5,786	0	1,042
Time Burden (Hours)	3,675	0	582
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children & Families (ACF) of the U.S. Department of Health and Human Services (HHS) is conducting the Evaluation of Adolescent Pregnancy Prevention Approaches (PPA), an eight-year demonstration designed to study the effectiveness of promising policy-relevant strategies to reduce teen pregnancy. This package is for the first follow-up data collection.

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Authorizing Statute(s): PL: Pub.L. 110 - 161 Div G Title II Name of Law: Consolidated Appropriations Act of 2008
   PL: Pub.L. 111 - 117 Div D - Title II Name of Law: Consolidated Appropriations Act of 2010
   PL: Pub.L. 111 - 8 Div F - Title II Name of Law: Omnibus Appropriations Act of 2009
  

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 76164	12/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 12305	02/29/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Oklahoma Institute Child Advocacy (OICA)
Ohio Health/T.O.P.P.
Children Hopital of Los Angeles/Project AIM
Engender Health
Live the Life Ministries/WAIT Training
Chicago Public Schools
Princeton Center for Leadership Training /TeenPEP

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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	5,786	1,042	0	4,744	0	0
Annual Time Burden (Hours)	3,675	582	0	3,093	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: Chicago was previously approved for 430 respondents. We are increasing the respondents now by 878 for a total of 1308 requested respondents. The burden hours were approved for 215 and the program change is by 570 hours for a total of 785 burden hours. OICA was previously approved for 367 burden hours were approved and we are increasing burden hours by 61 for a total of 428. The total request for respondents has not changed.

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Annual Cost to Federal Government: $1,480,138

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: 03/30/2012

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