Pregnancy Assistance Fund (PAF) Implementation Study

ICR 201502-0990-005

OMB: 0990-0428

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2015-02-24
Supporting Statement A
2015-02-24
ICR Details
0990-0428 201502-0990-005
Historical Active
HHS/HHSDM
Pregnancy Assistance Fund (PAF) Implementation Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/18/2015
Retrieve Notice of Action (NOA) 02/26/2015
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved
155 0 0
163 0 0
0 0 0

The data will serve two main purposes. First, the information will enable the study team to produce clear, detailed descriptions of each intervention that is evaluated and the counterfactual in each site. This documentation is critical for understanding the meaning of impact estimates. Second, the data will be used to assess fidelity of implementation and the quality of program delivery. This information is essential for determining whether the interventions were implemented well and whether the evaluation provided a good test of each site's intervention.

PL: Pub.L. 111 - 148 10211-10214 Name of Law: Patient Protection and Affordable Care Act (ACA)
  
None

Not associated with rulemaking

  79 FR 69119 11/20/2014
80 FR 8311 02/17/2015
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 155 0 0 155 0 0
Annual Time Burden (Hours) 163 0 0 163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New collection

$76,666
No
No
Yes
No
No
Uncollected
Sherette Funn-Coleman

  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.
02/26/2015


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