PEPFAR Program Expenditures

Forms and Documents

Document Name	Status
Form DS-4213 PEPFAR Program Expenditures Form and Instruction	Modified
Legal Authorities PEPFAR (11-13).docx Supplementary Document	2013-11-26
Supporting Statement PEPFAR Program (11-13).docx Supporting Statement A	2013-11-26

IC Document Collections

IC ID	Document Title	Status
204522	PEPFAR Program Expenditures Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0208	ICR Reference No: 201311-1405-001
Status: Historical Active	Previous ICR Reference No: 201210-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: PEPFAR Program Expenditures
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: 02/19/2014
	Date Received in OIRA: 11/27/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	10/31/2014
Responses	1,581	0	1,583
Time Burden (Hours)	37,944	0	37,992
Cost Burden (Dollars)	0	0	0

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Abstract: Annual reporting of expenditures of entities receiving funds under the President's Emergency Plan for AIDS Relief to implement programs to combat global HIV/AIDS. Expenditures are matched to results to provide an estimate of cost per output; these results are used by program managers and US government to identify efficient practices, project long and short-term costs, and budget strategically to achieve maximum impact with public funds. Results are compiled into web-based interface based on routine data from accounting systems and output reports.

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Authorizing Statute(s): PL: Pub.L. 108 - 25 1 Name of Law: United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003
   PL: Pub.L. 110 - 293 1 Name of Law: Tom Lantos and Henry J. Hyde United States ,.....Reauthorization Act of 2008
  

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 22361	04/15/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 70090	11/22/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
PEPFAR Program Expenditures	DS-4213	PEPFAR PROMIS Screenshots

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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	1,581	1,583	0	0	-2	0
Annual Time Burden (Hours)	37,944	37,992	0	0	-48	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: Burden numbers decreased because of fewer respondents for this submission.

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Annual Cost to Federal Government: $1,866,667

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 11/27/2013

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