Justification for Change

0920-0952 Change Request 08NOV2013.docx

Process Evaluation of "Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives"

Justification for Change

OMB: 0920-0952

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Change Request

November 8, 2013


Information Collection Request: “Process Evaluation of “Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives”

(OMB no. 0920-0952, exp. date 12/31/2015)


Summary


CDC is currently approved to collect information from 9 state and community grantees funded under the cooperative agreement “Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives.” Paper-based collection instruments that are administered annually to the grantee organization include the “State and Community Awardee Performance Measure Reporting Tool” (Attachment 6). To improve usability, data quality, and respondent satisfaction in completing the assessment, CDC proposes to add fields to allow awardees to enter supplemental information to clarify responses.


There are no changes to the number of respondents or the estimated burden per response. CDC plans to begin administering the revised instruments in 2013.  OMB approval is requested, effective immediately.


Information Collection Instruments Affected by Changes


State and Community Awardee Performance Measure Reporting Tool

The revised paper version is included as Attachment 6 (rev)



Background and Justification


CDC is approved to collect information needed for a process and intermediate outcome evaluation of awardees funded under the TPP Initiative. An integral part of the process evaluation requires documenting implementation activities. In order to conduct this process evaluation, annual assessments of performance are conducted among the nine State and Community Awardees and their local partners. The collection of performance measures is critical to understanding the implementation practices associated with evidence-based programs and contraceptive access for each awardee community. Information will be collected via questionnaires and a web-based data entry system. Performance measures are collected via a paper questionnaire (see Attachment 6) annually in accordance with the standing approved ICR.


CDC requests OMB approval to modify the current form to include additional questions that are designed to improve usability and data quality based on feedback from respondents and CDC’s experience in providing technical assistance. This form does alter the content through the addition of questions that allow respondents to provide complete data and to provide clarification for reported measures (see itemized changes below). The items do not change the estimated burden per response.



Itemized Changes in Survey Content


The changes to the performance measure reporting tool include the addition of fields as indicated below.


Change 1. Added field to Table I.c. pages 3-4 for youth who did not report gender. Current field allows awardees to count only youth who report gender.


 

Characteristics of Program Youth1

Males

Females

Youth who did not report Gender

# served

# retained

# served

# retained

Age (one response per participant)

 

 

 

 


10 years or younger

 

 

 

 


11-12 years

 

 

 

 


13-14 years

 

 

 

 


15-16 years

 

 

 

 


17-18 years

 

 

 

 


19 years or older

 

 

 

 


Grade (one response per participant)

 

 

 

 


6th grade or lower

 

 

 

 


7-8th grade

 

 

 

 


9-10th grade

 

 

 

 


11-12th grade

 

 

 

 


GED program

 

 

 

 


Technical/vocational training

 

 

 

 


College (any year)

 

 

 

 


Not currently in school

 

 

 

 


Ethnicity (one response per participant)

 

 

 

 


Hispanic or Latino

 

 

 

 


Not Hispanic or Latino

 

 

 

 


Unknown/unreported

 

 

 

 


Race (one response per participant)

 

 

 

 


American Indian or Alaska Native

 

 

 

 


Asian

 

 

 

 


Black or African American

 

 

 

 


Native Hawaiian or Other Pacific Islander

 

 

 

 


White

 

 

 

 


Other

 

 

 

 


More than one race

 

 

 

 


Unknown/unreported

 

 

 

 


Primary language spoken at home (one response per participant)

 

 

 

 


English

 

 

 

 


Spanish

 

 

 

 


Chinese

 

 

 

 


Other

 

 

 

 


Special populations (one response per participant)

 

 

 

 


None






Pregnant or parenting teens

 

 

 

 


Youth in foster care

 

 

 

 


Homeless youth

 

 

 

 


Youth in the juvenile justice system

 

 

 

 


Other (describe____________________)

 

 

 

 


Total








Change 2. The following 4 fields will be added to section I.c. page 4.


TOTAL NUMBER OF YOUTH SERVED_________________________

TOTAL NUMBER OF YOUTH RETAINED _______________________


Method of collection and reporting for youth served: _________________________________

Method of collection and reporting for youth retained: ________________________________


Change 3. The following field will be added to section I page 5.


ID_____________


Change 4. The following question will be added to section I page 5.


Please indicate the nature of the partnership: (Check all that apply)

  • Signed MOU/MOA

  • We provide funding to this partner

  • We provide ongoing Technical Assistance and Training to this partner

  • We have provided only Training to this partner

  • This partner participates fully in the collection of Performance Measures


Change 5. The following will be added to section 2.b. page 9.


Data reporting period __________________ indicate the date range for the data provided below.



Change 6. The following will be added to section 2.f. page 11.


Data reporting period____________ indicate the date range for the data in all tables below.


Change 7. The following field will be added to section III.a.


# of Core Partner Leadership Team Members


Change 8. The following field will be added to section III.b.


# of Community Action Team Members


Change 9. The following field will be added to section III.c.


# of Youth Leadership Team Members



1 Characteristics may be obtained from attendance records or pre-/post-tests

46


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