TPP Replication Study Follow Up Data Collection

Forms and Documents

Document Name	Status
Form 3 Reducing the Risk - Inexperienced Form and Instruction	New
Form 2 Reducing the Risk - Active Youth Form and Instruction	New
Form 1 Safer Sex Intervention Survey Form and Instruction	New
TPP CONSENT AND BASELINE RESPONSE RATES.docx Supplementary Document	2013-03-01
TPP Replication Study Follow-Up Supporting Justification B_revised_030113.docx Supporting Statement B	2013-03-01
TPP Replication Study Follow-Up- Attachment G_Audio-CASI.docx Supplementary Document	2012-12-03
TPP Replication Study Follow-Up - Attachment C_Sources referenced.docx Supplementary Document	2012-12-03
TPP Replication Study Follow-Up - Attachment B - Topics & Justification.docx Supplementary Document	2012-12-03
TPP Replication Study Follow-Up - Attachment A Item Crosswalk_rev.docx Supplementary Document	2012-12-03
TPP Replication Study Follow Up Supporting Justification A_revised 030113.docx Supporting Statement A	2013-03-01

IC Document Collections

IC ID	Document Title	Status
204999	Reducing the Risk - Inexperienced Form and Instruction	New
204998	Reducing the Risk - Active Youth Form and Instruction	New
204997	Safer Sex Intervention Survey Form and Instruction	New

ICR Details

OMB Control No: 0990-0405	ICR Reference No: 201212-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: TPP Replication Study Follow Up Data Collection
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: 03/01/2013
	Date Received in OIRA: 12/03/2012
Terms of Clearance: This information collection request is approved as amended by HHS in accordance with the following: (1) within 3 months HHS will provide crosswalk information on survey questions across relevant teen pregnancy collections, as discussed, (2) within 1 month, HHS will provide updated consent and baseline data, as discussed, and (3) HHS will not include Facebook contacts with respondents in the study at this time.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved
Responses	11,400	0	0
Time Burden (Hours)	5,700	0	0
Cost Burden (Dollars)	13,544	0	0

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Abstract: HHS is interested in identifying and evaluating approaches to reduce teen pregnancy, associated risk behaviors, and their consequences. One of the key policy questions is whether programs that have demonstrated evidence of effectiveness can be replicated in new settings with positive impacts. Of the 31 programs on the HHS list of evidence-based programs, only one program model has been replicated and shown to have positive effects through a rigorous evaluation. The follow-up data collection described in this ICR will provide important information to guide policy decisions aimed at replicating evidence-based programs.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Service Act
   PL: Pub.L. 111 - 117 D Name of Law: Pregnancy Prevention program
  

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:
	77 FR 15370	03/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 68122	11/15/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Safer Sex Intervention Survey	1	Safer Sex Intervention Survey
Reducing the Risk - Active Youth	2	Reducing the Risk - Active
Reducing the Risk - Inexperienced	3	Reducing the Risk - Inexperienced

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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	11,400	0	0	11,400	0	0
Annual Time Burden (Hours)	5,700	0	0	5,700	0	0
Annual Cost Burden (Dollars)	13,544	0	0	13,544	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: New collection

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Annual Cost to Federal Government: $1,124,684

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: 12/03/2012

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