OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

ACYF Pregnancy Prevention Performance Measure Collection

ICR 201502-0990-004 · OMB 0990-0392 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0990-0392A Attachment TPP Websystem Screenshots.pdf Supplementary Document Uploaded 2015-04-28 Repair queued
Supporting Statement B 0990-0392 Renewal_OAH.docx Supporting Statement B Uploaded 2015-04-23 Available
Supporting Statement A 0990-0392 Renewal_OAH.docx Supporting Statement A Uploaded 2015-04-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
216299 Grantee program staff-PREIS grantees Other-evaluation New
216297 Youth participating in PREIS programs Other-survey New
216296 Grantee program staff-Tier 1 C/D, Tier 2, and PREIS grantees Other-survey New
216294 Grantee program staff-all grantees Other-survey New
199779 Grantee Program staff-Tier 1 C/D and Ter 2/PREIS Other-Performance Measure reporting form Removed
199778 Grantee program staff-Tier 1 A/B Other-survey Removed
199777 Youth Participating in programs Other-survey Removed
199776 Grantee program staff Other-survey Removed
ICR Details
0990-0392 201502-0990-004
Historical Active 201305-0990-001
HHS/HHSDM 18738
ACYF Pregnancy Prevention Performance Measure Collection
Extension without change of a currently approved collection   No
Regular
Approved without change 08/07/2015
Retrieve Notice of Action (NOA) 04/29/2015
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved 08/31/2015
2,162 0 50,868
987 0 7,197
0 0 0
The performance measure collection is important to OAH and ACYF because it will provide the agency with data both to both effectively manage the TPP and PREIS programs, and to comply with accountability and federal performance requirements for the 1993 Government Performance and Results Act (P.L. 103-62). Moreover, collecting and reporting on data for performance measures are a funding requirement for the grants, as stated in the funding opportunity announcement.
PL: Pub.L. 103 - 62 1 Name of Law: Government Performance and Results Act
   PL: Pub.L. 111 - 117 2 Name of Law: Consolidated Appropriation Act, 2010
  
None
Not associated with rulemaking
  80 FR 6518 02/05/2015
80 FR 21744 04/20/2015
No
  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 2,162 50,868 0 2,114 -50,820 0
Annual Time Burden (Hours) 987 7,197 0 -21 -6,189 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
An adjustment that will decrease the annual burden from 3,428 hours to 987 hours. This decrease is primarily due to the fact that the PREIS grantees have a much lower number of program participants on avaerage (180) than the 1000 per grantee that was previouslu estimated. In addition, there will be just a single data collection during the 7-month extension, rather than the two data collections that previously occurred in a full year.
$219,299
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Sherrette Funn-Coleman 2026905683
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/29/2015