Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)

Forms and Documents

Document Name	Status
Attachment B. Informed Consent Forms_01.22.16.docx Supplementary Document	2016-01-22
HPOG2 Supporting Statement_Part B_01.14.16_tracked.docx Supplementary Document	2016-01-15
HPOG2 Supporting Statement_Part A_01.14.16_tracked.docx Supplementary Document	2016-01-15
Memo to OMB RE_Revised Consent Forms 011116_v3.docx Justification for No Material/Nonsubstantive Change	2016-01-15
Attachment A. References_5.11.15.docx Supplementary Document	2015-05-11
Attachment G. Contact Update Letter and Form.docx Supplementary Document	2015-05-11
HPOG2 Supporting Statement_Part B_01.14.16_clean.docx Supporting Statement B	2016-01-15
HPOG2 Supporting Statement_Part A_01.14.16_clean.docx Supporting Statement A	2016-01-15
Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document	2015-05-06
FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document	2015-08-05
Attachment D. Sources and Justification_5.4.15.docx Supplementary Document	2015-05-06
Attachment B. Informed Consent Forms_01.22.16.docx Supplementary Document	2016-01-22

IC Document Collections

IC ID	Document Title	Status
216432	PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System	Unchanged
216431	PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System	Modified
216430	PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System	Modified

ICR Details

OMB Control No: 0970-0462	ICR Reference No: 201601-0970-007
Status: Historical Inactive	Previous ICR Reference No: 201505-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 01/22/2016
	Date Received in OIRA: 01/19/2016
Terms of Clearance: ACF is to comply with the requirements of Section 7(b) of the Privacy Act (5 U.S.C. Sec. 552a note) when requesting individuals to disclose social security account numbers.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	08/31/2018	08/31/2018
Responses	10,980	0	10,980
Time Burden (Hours)	7,890	0	7,890
Cost Burden (Dollars)	0	0	0

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Abstract: The Evaluation and System Design for Career Pathways Programs: 2nd Generation of Health Profession Opportunity Grants (HPOG Next Gen Design) is funded by the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF). The ACF Office of Family Assistance (OFA) has announced plans to award a second round of HPOG grants by September 2015. One of the key objectives of HPOG Next Gen Design is to establish a new data system to support program management and evaluation of the new HPOG grantees. The data system will meet the performance data needs of the HPOG Next Gen grantees and of OFA to monitor the performance of the grants and prepare the report to Congress on the grants, as well as support an impact study, a separate but coordinated Tribal evaluation, and other future research and evaluation efforts sponsored by ACF. ACF is seeking clearance from OMB for the data collection via the new data system, called the HPOG Next Gen Participant Accomplishment and Grant Evaluation System (PAGES). The information collection proposed is internet-based and includes gathering data from the HPOG Next Gen grantees on: (1) grantee program designs and offerings; (2) intake information on eligible applicants (both treatment and control) through baseline data collection; and (3) individual enrolled program participants' activities and outcomes.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  

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 11679	03/04/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 26927	05/11/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
PAGES Grantee- and Participant-Level Data Collection (all grantees)
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)

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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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of grants awarded was fewer than originally estimated.

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Annual Cost to Federal Government: $673,416

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]? 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: 01/19/2016

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