DATA Act Section 5 Grants Pilot

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
HHS DAP PRA_Section B_3142016.docx	Supporting Statement B	Uploaded 2016-03-17	Available
updated 4040_new HHS DAP PRA _Statement A_3142016.docx	Supporting Statement A	Uploaded 2016-03-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
224451	CDER Library Test 1	Other-null	New
223704	Notice of Award -- Proof of Concept Test	Other-questionnaire	New
223089	Single Audit Form Completion Test Model	Other-questionnaire	New
222174	Consolidated FFR	Other-Survey	New
221789	Learn Grants Test Model	Other-Quiz	New
221468	Consolidated Federal Financial Report (FFR)	Other-Survey	New
221212	Pilot Participation Form	Other-form	New
220779	Single Audit Focus Group	Other-questionnaire	New

ICR Details

OMB Control No: 4040-0017	ICR Reference No: 201603-4040-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EGOV	Agency Tracking No:
Title: DATA Act Section 5 Grants Pilot
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 with change	Conclusion Date: 03/17/2016
	Date Received in OIRA: 03/17/2016
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of survey instruments under this generic approval, HHS will provide a summary of the statistical methods used for each submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved
Responses	300	0	0
Time Burden (Hours)	16,876	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: OMB has designated the Department of Health and Human Services (HHS) as the executing agent of the pilot program. Within HHS, the DATA Act PMO (DAP) has been established under the Office of the Assistant Secretary for Financial Resources (ASFR) in order to implement this pilot program. DAP is requesting a generic clearance for the purpose of conducting tests under the pilot program to obtain qualitative and quantitative data and gain an understanding of the burden imposed on Federal recipients. The Section 5 grants pilot program was launched in May 2015 and will conclude May 2017. The majority of data collection efforts related to the pilot tests will occur during calendar year 2016. This collection of information is necessary to enable DAP to garner feedback in an efficient, timely manner, in accordance with the project mission. Recipient outreach efforts will enable DAP to report findings and recommendations to OMB on standardized reporting elements, the elimination of unnecessary duplication, and the reduction of compliance costs for recipients of Federal funds.

---

Authorizing Statute(s): PL: Pub.L. 113 - 101 2 Name of Law: The Digital Accountability and Transparency Act of 2014 (“DATA Act”)
  

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 67412	11/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6871	02/09/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Pilot Participation Form
Learn Grants Test Model
Consolidated FFR
Single Audit Focus Group
CDER Library Test 1
Single Audit Form Completion Test Model
Consolidated Federal Financial Report (FFR)
Notice of Award -- Proof of Concept Test

---

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	300	0	0	300	0	0
Annual Time Burden (Hours)	16,876	0	0	16,876	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: New Collection

---

Annual Cost to Federal Government: $700,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 03/17/2016

---