ACYF Pregnancy Prevention Performance Measure Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
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

Information collection document groups

IC ID	Collection	Type	Status	Form
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

OMB Control No: 0990-0392	ICR Reference No: 201502-0990-004
Status: Historical Active	Previous ICR Reference No: 201305-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 18738
Title: ACYF Pregnancy Prevention Performance Measure Collection
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: 08/07/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/29/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	2,162	0	50,868
Time Burden (Hours)	987	0	7,197
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): 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
  

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:
	80 FR 6518	02/05/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 21744	04/20/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Grantee Program staff-Tier 1 C/D and Ter 2/PREIS
Grantee program staff
Grantee program staff-PREIS grantees
Grantee program staff-Tier 1 A/B
Grantee program staff-Tier 1 C/D, Tier 2, and PREIS grantees
Grantee program staff-all grantees
Youth Participating in programs
Youth participating in PREIS programs

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ICR Summary of Burden

table that charts list 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	2,162	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

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 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.

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Annual Cost to Federal Government: $219,299

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: 04/29/2015

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