Understanding Urban American Indians' and Alaska Natives' Interactions with ACF Services and Programs

Forms and Documents

Document Name	Status
Research Questions and Guides Crosswalk.docx Supplementary Document	2012-12-13
APPENDIX A ACF Approach to Tribal Research.docx Supplementary Document	2012-12-13
APPENDIX D Informed Consent Form.docx Supplementary Document	2012-12-13
APPENDIX C Invitation Letter to UIC and Local State Agency Directors.docx Supplementary Document	2012-12-13
REV 12 10 12_Urban AI AN Supporting Statement PART B.docx.docx Supporting Statement B	2012-12-13
APPENDIX M Focus Group Appointment Letter.docx Supplementary Document	2012-05-07
APPENDIX L Recruitment Screener.docx Supplementary Document	2012-05-07
APPENDIX K Focus Group Recruitment Flyer.docx Supplementary Document	2012-05-07
APPENDIX J Initial Contact Script.docx Supplementary Document	2012-05-07
APPENDIX I Informed Consent Form.docx Supplementary Document	2012-05-07
APPENDIX H Summary of Public Comments and ACF Responses to 60 Day Federal Register Notice.docx Supplementary Document	2012-05-07
APPENDIX B References.docx Supplementary Document	2012-12-13
Urban AI AN Supporting Statement PART A.docx Supporting Statement A	2012-12-13

IC Document Collections

IC ID	Document Title	Status
202339	Telephone Interview Guide for Local State Agency Directors Other-Interview Guide	New
202338	Telephone Interview Guide for UIC Directors Other-Telephone Guide	New
202337	Interview Guide for Focus Groups with American Indian/Alaska Native (AI/AN) Populations Other-Focus Group	New
202336	Initial Contact and Telephone Interview Guide for Directors of Urban Indian Centers Other-Guide	New

ICR Details

OMB Control No: 0970-0418	ICR Reference No: 201205-0970-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Understanding Urban American Indians' and Alaska Natives' Interactions with ACF Services and Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/14/2012
	Date Received in OIRA: 05/17/2012
Terms of Clearance: Within three months of approval of this collection, the agency will submit to the OMB desk officer the agency’s plan to prospectively realize efficiencies in the design, measurement, planned comparisons, and data interoperability between the current collection 201205-0970-006 (Urban AIAN), 201206-0970-003 (Tribal TANF and Child Welfare Services), 201203-0970-002 (Descriptive Tribal TANF), and 0970-0394 (HPOG). This plan should be specific, with an aim to maximize data utility, advancement of science, and reduction of cost and burden. Specific, measureable outcomes should be specified; holding weekly field operations meetings would not be sufficient.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	12 Months From Approved
Responses	168	0	0
Time Burden (Hours)	177	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Native Americans and the Office of Planning, Research, and Evaluation, both within the Administration for Children and Families (ACF) in the U.S. Department of Health and Human Services (HHS) seek approval for the data collection activities described in this request in order to support a study being undertaken for ACF by Westat. The aim of this study is to conduct exploratory research to understand the challenges to family self-sufficiency among low-income, urban American Indians and Alaska Natives (AI/AN), as well as their interactions with programs and services offered by (ACF). This is a two-part study consisting of in-depth telephone interviews and site visits. The goals of the research are to understand how poverty and other socio-economic conditions impact urban Indian families, variations in the kinds of services Urban Indian Centers are able to provide, and the degree to which AI/AN community members are aware of - and access - ACF services and programs.

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Authorizing Statute(s): US Code: 42 USC 1110 Name of Law: Social Security Act; Cooperative Research or Demonstration Projects
  

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 49491	08/10/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 27778	05/11/2012
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Initial Contact and Telephone Interview Guide for Directors of Urban Indian Centers
Interview Guide for Focus Groups with American Indian/Alaska Native (AI/AN) Populations
Telephone Interview Guide for UIC Directors
Telephone Interview Guide for Local State Agency Directors

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ICR Summary 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	168	0	0	168	0	0
Annual Time Burden (Hours)	177	0	0	177	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: This is a new information collection request.

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Annual Cost to Federal Government: $97,899

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: 05/17/2012

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