Faith-Based Neighborhoods

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Faith-Based Neighborhoods	Form	Modified	Repair queued
ED ICR Supporting Statement for FBO NPRM - clean 03-30-2016.docx	Supporting Statement A	Uploaded 2016-04-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217801	Faith-Based Neighborhoods	Form	Modified

ICR Details

OMB Control No: 1895-0001	ICR Reference No: 201603-1895-001
Status: Historical Active	Previous ICR Reference No: 201508-1895-001
Agency/Subagency: ED/OUS	Agency Tracking No:
Title: Faith-Based Neighborhoods
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/12/2016
	Date Received in OIRA: 04/04/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved
Responses	542,829	0	0
Time Burden (Hours)	19,163	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a new information collection necessitated by Executive Order 13559 (the "Executive Order"), Fundamental Principles and Policymaking Criteria for Partnerships with Faith-Based and Other Neighborhood Organizations.The information collected under these new requirements will serve the purpose of notifying beneficiaries of their rights when receiving program services under a program of the Department from a faith-based organization, including the right, established under the Executive Order, to request a referral to a non-faith based provider of services, and requiring faith-based grantees, subgrantees, and contractors that provide program services to make reasonable efforts to refer beneficiaries to another provider, when requested.

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Authorizing Statute(s): EO: EO 13559 Name/Subject of EO: Fundamental Principles and Policymaking Criteria for Partnerships with Fath-Based and Neighborhood
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1895-AA01	Final or interim final rulemaking	81 FR 19355	04/04/2016

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Faith-Based Neighborhoods	N/A	Beneficiary Rights and Referral

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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	542,829	0	0	542,829	0	0
Annual Time Burden (Hours)	19,163	0	0	19,163	0	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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection. This results in a program increase of 542,829 responses and 19,163 hours.

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Annual Cost to Federal Government:

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

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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: 04/04/2016

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