Personal Responsibility Education Program (PREP) Multi-Component Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Memo - PREP NonSub Change Request 072816.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-28	Available
7.References.docx	Supplementary Document	Uploaded 2014-08-20	Repair queued
6 Attachment C_Email Intro to Survey_2014-08-19-14.docx	Supplementary Document	Uploaded 2014-08-20	Available
4.Attachment B_PREPEvaluationDescription_2011-07-14_toACF.DOCX	Supplementary Document	Uploaded 2014-08-20	Available
2 Part B_PREP_DIS_IS OMB Outline_2014-08-19.docx	Supporting Statement B	Uploaded 2014-08-20	Available
1 Part A_PREP_PM Burden Revision 072816.docx	Supporting Statement A	Uploaded 2016-07-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212734	Implementation Survey Interview Topic Guide (Provider-level Respondents)	Other-Topic Guide	Unchanged
212733	Implementation Survey Interview Topic Guide (State-level Respondents)	Other-Topic Guide	Unchanged
207459	New Instrument #10: Program Attendance Data Collection Protocol	Other-Protocol	Unchanged
207458	New Instrument #9: Focus Group Discussion Guide	Other-Focus Group	Unchanged
207457	New Instrument #8: Staff Survey	Other-Survey	Unchanged
207456	New Instrument #7: Master List of Topics for Staff Interviews	Other-Interviews	Unchanged
207455	New Instruments 5,6,12: Second Follow-Up Survey	Other-Survey	Unchanged
207454	New Instruments 5, 6, 12: First Follow-Up Surveys	Other-Survey	Unchanged
207453	New Instrument #4: Implementation Site Data Collection Protocol	Other-Protocol	Unchanged
207452	Performance Reporting System Data Entry Form	Other-PRS Form	Modified
207451	Exit Survey (CPREP Participants)	Other-Survey	Modified
207450	Entry Survey (CPREP Participants)	Other-Survey	Modified
203228	Baseline Survey	Other-Survey	Unchanged
203227	Sub-awardee data collection and reporting	Other-Data Reporting	Modified
203226	Performance Reporting System Data Entry Form	Other-PRS Entry Form	Unchanged
203225	Implementation site data collection	Other-Data Collection	Unchanged
203224	Participant exit survey	Other-Survey	Modified
203223	Participant entry survey	Other-Survey	Modified
202667	Discussion Guide for Use with School Administrators	Other-Discussion Guide	Unchanged
202666	Discussion Guide for Use with Program Staff	Other-Discussion Guide	Unchanged
202665	Discussion Guide for Use with Program Directors	Other-Discussion Guide	Unchanged
202664	Discussion Guide for use with Macro-Level Coordinators	Other-Disscussion Guide	Unchanged
198489	Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators	Other-#1 Interview guide for use with PREP state-level coordinat	Unchanged

ICR Details

OMB Control No: 0970-0398	ICR Reference No: 201607-0970-008
Status: Historical Active	Previous ICR Reference No: 201408-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: 21236
Title: Personal Responsibility Education Program (PREP) Multi-Component Evaluation
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: Approved without change	Conclusion Date: 08/05/2016
	Date Received in OIRA: 07/29/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	11/30/2017	11/30/2017
Responses	165,442	0	100,352
Time Burden (Hours)	46,268	0	36,943
Cost Burden (Dollars)	1,124	0	1,124

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Abstract: The Patient Protection and Affordable Care Act, signed into law in March of 2010, established the Personal Responsibility Education Program (PREP) which funds programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects. The goal of the PREP Multi-Component Evaluation will be to document how programs funded through the State PREP program are designed and implemented in the field and to assess selected PREP-funded programs' effectiveness. The evaluation has three main components: (1) the Design and Implementation Study; (2) the Performance Analysis Study; and (3) the Impact and In-depth Implementation Study. The PREP program has multiple components. However, this ICR is specifically related to a second round of data collection conducted for the evaluation's Design and Implementation Study (DIS). The Design Survey phase of the DIS component was implemented across all State PREP grantees. The Implementation Survey phase of the DIS will provide a detailed description of how a sub-set of four states have created structures and supports to assist program providers in implementing evidence-based programs with quality and fidelity to their designs.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 3590 Name of Law: Patient Protection and Affordable Care Act (ACA)
  

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:
	78 FR 62637	10/22/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 51172	08/27/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 23

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Survey
Discussion Guide for use with Macro-Level Coordinators
Discussion Guide for Use with Program Directors
Discussion Guide for Use with Program Staff
Discussion Guide for Use with School Administrators
Entry Survey (CPREP Participants)
Exit Survey (CPREP Participants)
Performance Reporting System Data Entry Form
New Instrument #4: Implementation Site Data Collection Protocol
New Instruments 5, 6, 12: First Follow-Up Surveys
New Instruments 5,6,12: Second Follow-Up Survey
New Instrument #7: Master List of Topics for Staff Interviews
New Instrument #8: Staff Survey
New Instrument #9: Focus Group Discussion Guide
New Instrument #10: Program Attendance Data Collection Protocol
Implementation Survey Interview Topic Guide (State-level Respondents)
Implementation Survey Interview Topic Guide (Provider-level Respondents)
Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators
Participant entry survey
Participant exit survey
Implementation site data collection
Performance Reporting System Data Entry Form
Sub-awardee data collection and reporting

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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	165,442	100,352	0	65,090	0	0
Annual Time Burden (Hours)	46,268	36,943	0	9,325	0	0
Annual Cost Burden (Dollars)	1,124	1,124	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This nonsubstantive change is to adjust burden based on the actual number of respondents now expected for this IC.

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Annual Cost to Federal Government: $2,645,321

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: 07/29/2016

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