Personal Responsibility Education Program (PREP) Multi-Component Evaluation

Forms and Documents

Document Name	Status
PREP Eval - FFUP+Implementation - Part B - revised - 10-16-13_clean.docx Supporting Statement B	2013-11-07
Attachment J - Advance Letters and Prompts.doc Supplementary Document	2013-06-20
Attachment I Consent Letters and Forms.docx Supplementary Document	2013-06-20
Attachment H - Persons Consulted on Collection and_or Analysis of the PAS and IIS data.docx Supplementary Document	2013-06-20
Attachment F - Sources Referenced for the Staff Survey.docx Supplementary Document	2013-06-20
Attachment E - Question by Question Source Table for the Staff Survey.docx Supplementary Document	2013-06-20
Attachment D - Sources Referenced for the Follow-Up.docx Supplementary Document	2013-06-20
Attachment C - Question by Question Source Table for the Follow-Up.docx Supplementary Document	2013-06-20
Attachment B - Analysis Plan for the PREP Impact Study.docx Supplementary Document	2013-06-20
Attachment A - Overview of the PREP Evaluation.docx Supplementary Document	2013-06-20
Instrument 5[1].docx Supplementary Document	2012-06-26
PREP Eval - FFUP+Implementation - Part A -revised 11-6-13_clean.docx Supporting Statement A	2013-11-07

IC Document Collections

IC ID	Document Title	Status
207459	New Instrument #10: Program Attendance Data Collection Protocol Other-Protocol	New
207458	New Instrument #9: Focus Group Discussion Guide Other-Focus Group	New
207457	New Instrument #8: Staff Survey Other-Survey	New
207456	New Instrument #7: Master List of Topics for Staff Interviews Other-Interviews	New
207455	New Instruments 5&6: Second Follow-Up Survey Other-Survey	New
207454	New Instruments 5&6: First Follow-Up Surveys Other-Survey	New
207453	New Instrument #4: Implementation Site Data Collection Protocol Other-Protocol	New
207452	New Instrument #3: Performance Reporting System Data Entry Form Other-PRS Form	New
207451	New Instrument #2: Exit Survey (CPREP Participants) Other-Survey	New
207450	New Instrument #1: Entry Survey (CPREP Participants) Other-Survey	New
203228	Baseline Survey Other-Survey	Modified
203227	Sub-awardee data collection and reporting Other-Data Reporting	Modified
203226	Performance Reporting System Data Entry Form Other-PRS Entry Form	Modified
203225	Implementation site data collection Other-Data Collection	Modified
203224	Participant exit survey Other-Survey	Modified
203223	Participant entry survey Other-Survey	Modified
202667	Discussion Guide for Use with School Administrators Other-Discussion Guide	Modified
202666	Discussion Guide for Use with Program Staff Other-Discussion Guide	Modified
202665	Discussion Guide for Use with Program Directors Other-Discussion Guide	Modified
202664	Discussion Guide for use with Macro-Level Coordinators Other-Disscussion Guide	Modified
198489	Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators Other-#1 Interview guide for use with PREP state-level coordinat	Modified

ICR Details

OMB Control No: 0970-0398	ICR Reference No: 201306-0970-004
Status: Historical Active	Previous ICR Reference No: 201207-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: 19820
Title: Personal Responsibility Education Program (PREP) Multi-Component 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: 11/08/2013
	Date Received in OIRA: 06/24/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2016	36 Months From Approved	03/31/2016
Responses	100,340	0	83,582
Time Burden (Hours)	36,931	0	31,342
Cost Burden (Dollars)	1,124	0	1,124

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Abstract: The Patient Protection and Affordable Care Act, signed into law in March of 2010, established the Personal Responsibility Education Program (PREP) which funds programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects. The goal of the PREP Multi-Component Evaluation will be to document how programs funded through the State PREP program are designed and implemented in the field and to assess selected PREP-funded programs' effectiveness. The evaluation has three main components: (1) the Design and Implementation Study; (2) the Performance Analysis Study; and (3) the Impact and In-depth Implementation Study. The PREP program has multiple components. However, this ICR is specifically related to two components of the program - state formula grant funding and "Competitive PREP" discretionary grant funding.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 3590 Name of Law: Patient Protection and Affordable Care Act (ACA)
  

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:
	78 FR 8150	02/05/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 37226	06/20/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

IC Title	Form No.	Form Name
New Instrument #1: Entry Survey (CPREP Participants)
New Instrument #2: Exit Survey (CPREP Participants)
New Instrument #3: Performance Reporting System Data Entry Form
New Instrument #4: Implementation Site Data Collection Protocol
New Instruments 5&6: First Follow-Up Surveys
New Instruments 5&6: Second Follow-Up Survey
New Instrument #7: Master List of Topics for Staff Interviews
New Instrument #8: Staff Survey
New Instrument #9: Focus Group Discussion Guide
New Instrument #10: Program Attendance Data Collection Protocol
Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators
Participant entry survey
Participant exit survey
Implementation site data collection
Performance Reporting System Data Entry Form
Sub-awardee data collection and reporting
Baseline Survey
Discussion Guide for use with Macro-Level Coordinators
Discussion Guide for Use with Program Directors
Discussion Guide for Use with Program Staff
Discussion Guide for Use with School Administrators

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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	100,340	83,582	0	16,758	0	0
Annual Time Burden (Hours)	36,931	31,342	0	5,589	0	0
Annual Cost Burden (Dollars)	1,124	1,124	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: Approvals for two data collection efforts and the associated instruments: (1) collection of PREP performance measures for the Performance Analysis Study (PAS) through participant entry and exit surveys and the Performance Reporting System Data Entry Form for state and tribal grantees; and (2) collection of baseline data for the Impact and In-Depth Implementation Study (IIS) through the PREP baseline survey was received on March 12, 2013 (OMB Control # 0970-0398). We now seek approval for the data collections associated with the Performance Analysis Study for CPREP grantees and for the collection of youth follow-up data, staff interviews, a staff survey, and youth focus groups under the In-Depth Impact and Implementation Study. This request will increase the total burden requested for the PREP Evaluation, under OMB Control No. 0970-0398.

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Annual Cost to Federal Government: $1,654,066

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]? Yes

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: 06/24/2013

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