Pregnancy Assistance Fund Feasibility And Design Study(Positive Adolescent Futures)

ICR 201601-0990-001

OMB: 0990-0424

Federal Form Document

ICR Details
0990-0424 201601-0990-001
Historical Active 201505-0990-001
HHS/HHSDM
Pregnancy Assistance Fund Feasibility And Design Study(Positive Adolescent Futures)
Revision of a currently approved collection   No
Regular
Approved with change 01/07/2016
Retrieve Notice of Action (NOA) 01/06/2016
Results of the three separate program evaluations contained within this collection are not intended to be generalized to the broader Pregnancy Assistance Fund grantee national network. Upon publication and communication of this collection's outcomes, the Agency will clearly describe the research limitations and specific scope of this collection.
  Inventory as of this Action Requested Previously Approved
01/31/2019 36 Months From Approved 08/31/2017
1,251 0 957
683 0 487
0 0 0

The objective of the Pregnancy Assistance Fund (PAF) Feasibility and Design Study (FADS) is to establish a foundation for a rigorous impact and implementation evaluation. Specifically, FADS will: (1) assess design options for implementation and impact evaluation, (2) document how PAF programs are operationalized in the field, (3) identify and enter into agreements with two or three sites for the evaluation, (4) provide assistance to sites to support a rigorous evaluation framework, (5) develop all evaluation instruments and obtain clearance, and (6) pilot baseline data collection. As described below, the evaluation will have two main components: the Design and Implementation Analysis and the Impact Study.

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

Not associated with rulemaking

  80 FR 26281 05/07/2015
80 FR 43099 07/21/2015
No

3
IC Title Form No. Form Name
Baseline Survey of impact study participants
12 Month follow-up survey of impact study participants
Grantee Interview Protocol

  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 1,251 957 0 1,250 -956 0
Annual Time Burden (Hours) 683 487 0 683 -487 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
OMB gave approval on August 30, 2014, for the PAF baseline survey and telephone interviews across 17 Pregnancy Assistance Fund grantees (OMB Control # 0990-0424). We now seek a revision to the existing approval to add the data collection associated with the 12-month follow-up survey instruments. This request is an adjustment increasing the total burden from 349 hours to 682.67 hours.

$561,645
Yes Part B of Supporting Statement
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.
01/06/2016


© 2024 OMB.report | Privacy Policy