Sustainability Study of Federally-Funded programs Designed to Prevent or Delay Teen Pregnancy

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
5) ATTACHMENT C_Final.docx	Supplementary Document	Uploaded 2016-08-30	Repair queued
0990-New Sustainability SSA Passback_Revised_Clean.docx	Supporting Statement A	Uploaded 2016-08-30	Available
60-day Federal Register, Volume 81 Issue 49 (Monday, March 14, 2016).htm	Supplementary Document	Uploaded 2016-07-15	Repair queued
30-day Federal Register, Volume 81 Issue 134 (Wednesday, July 13, 2016).htm	Supplementary Document	Uploaded 2016-07-15	Available
5) ATTACHMENT C_Final.docx	Supplementary Document	Uploaded 2016-07-15	Available
4) ATTACHMENT B_Final.docx	Supplementary Document	Uploaded 2016-07-15	Available
3) ATTACHMENT A_Final.docx	Supplementary Document	Uploaded 2016-07-15	Available
0990-New Sustainability SSB Passback_Revised_(3).docx	Supporting Statement B	Uploaded 2016-08-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221893	In-Depth Interview Master Topic Guide	Other-guide	New

ICR Details

OMB Control No: 0990-0450	ICR Reference No: 201606-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Sustainability Study of Federally-Funded programs Designed to Prevent or Delay Teen Pregnancy
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: 08/31/2016
	Date Received in OIRA: 07/19/2016
Terms of Clearance: Pursuant to 5 CFR 1320, on the condition that all required data collection instruments associated with the information collection request display OMB control number and current expiration date, the information collection is approved for three (3) years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved
Responses	34	0	0
Time Burden (Hours)	51	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The data will be used for the study team to identify key factors in program sustainability, the strategies that either worked or did not work in sustaining programs over time, and the types of support and assistance grantees required in order to sustain programs. Collecting this data is crucial to closing an existing gap in OAH knowledge about how to support the sustainability efforts of current and future grantees, including the 2015-2020 TPP grantee cohort and the 2013-2016 PAF cohort.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 HR 3590 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 111 - 117 Division D Name of Law: Consolidated Appropriations Act, 2010
  

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:
	81 FR 13380	03/14/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 45290	07/13/2016
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
In-Depth Interview Master Topic Guide

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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	34	0	0	34	0	0
Annual Time Burden (Hours)	51	0	0	51	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

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Annual Cost to Federal Government: $117,769

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]? 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: 07/19/2016

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