Child Abuse Prevention Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement 1.14.res. doc.doc	Supporting Statement A	Uploaded 2015-08-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9922	Community-Based Child Abuse Prevent Program-Annual Report		Modified
185462	Commuunity-Based Child Abuse Prevention Program-Application	Instruction	Modified

ICR Details

OMB Control No: 0970-0155	ICR Reference No: 201504-0970-005
Status: Historical Active	Previous ICR Reference No: 201107-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: Child Abuse Prevention Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/17/2015
	Date Received in OIRA: 04/23/2015
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
Responses	104	0	0
Time Burden (Hours)	3,328	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The information being collected is required by statute to be submitted pursuant to receiving an award. The information submitted will be used by ACYF to ensure compliance with the stature, complete the calculation of the grant award entitlement, and provide training and technical assistance to the grantee. The information is provided by a representative of the lead agency, designated by the State's Chief Executive Officer to receive the funds and implement the program for the State. Annual Performance reports (Section 207 of Title II) and Financial Reports, using SF269 (USC Code 92 are required. These reports provide updates and changes in goals and services and indicate how the funds are being used.

---

Authorizing Statute(s): US Code: 42 USC 5116 Name of Law: CAPTA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 1915	01/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 21246	04/17/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Community-Based Child Abuse Prevent Program-Annual Report
Commuunity-Based Child Abuse Prevention Program-Application

---

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	104	0	0	0	0	104
Annual Time Burden (Hours)	3,328	0	0	0	0	3,328
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:

---

Annual Cost to Federal Government: $0

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

---

Common Form ICR:  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:

(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: 04/23/2015

---