Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program

Forms and Documents

Document Name	Status
20078 ID 0990-0360.docx Supporting Statement B	2013-09-27
20078 ID_Girls at Greater Risk Supporting Statement OMB 9_27_13 v2.doc Supporting Statement A	2013-09-27

IC Document Collections

IC ID	Document Title	Status
194099	Community Residents Other-form	Modified
194098	Program Partners - Focus group Other-questionnaire	Modified
194097	Program Partners- Process Interviews Other-forms	Modified
194096	Program Directors- Process Evaluation Interview: Program Directors Other-evaluation	Modified
194095	Program Staff- Process Evaluation Interview Other-study	Modified
194094	test Other-List of partners	Modified
194093	Program Participants Focus Group (Girls and Female Adolescents) Other-study	Modified
194092	Parents of Program Partcipants - Focus Group Other-study	Modified
194091	Program Participants (girl and female adolescents) Other-study	Modified

ICR Details

OMB Control No: 0990-0360	ICR Reference No: 201309-0990-002
Status: Historical Active	Previous ICR Reference No: 201009-0990-004
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 20078
Title: Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2013
	Date Received in OIRA: 09/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved	09/30/2013
Responses	2,211	0	2,211
Time Burden (Hours)	3,652	0	3,652
Cost Burden (Dollars)	0	0	0

---

Abstract: The primary goal of OWH's Girls at Greater Risk program is to increase knowledge about HIV and other sexually transmitted infections (STIs) and individual protective factors against juvenile delinquency among girls between the ages of 9 and 17 years using gender responsive prevention strategies. The program targets those behaviors and attitudes that have been found to promote both juvenile delinquency and sexually risky behavior.

---

Authorizing Statute(s): PL: Pub.L. 105 - 277 2681 Name of Law: Omnibus Consolidated and Emergency Supplemental Appropriations Act 1999
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 45200	07/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 59360	09/26/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Community Residents
Program Partners - Focus group
Program Partners- Process Interviews
Program Directors- Process Evaluation Interview: Program Directors
Program Staff- Process Evaluation Interview
Parents of Program Partcipants - Focus Group
Program Participants Focus Group (Girls and Female Adolescents)
Program Participants (girl and female adolescents)
test

---

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	2,211	2,211	0	0	0	0
Annual Time Burden (Hours)	3,652	3,652	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $307,306

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

---

Common Form ICR:  No

---

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: 09/30/2013

---