83-C Change Determination

Valentine, Stephanie
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Terpak, Kelly
Wednesday, April 20, 2016 2:23 PM
Valentine, Stephanie
RE: Evidence of Effectiveness Standard Form
Evidence of Effectiveness Standard Form FINAL.docx

Stephanie,
I made a really minor edit to the form (nothing that should impact burden, etc.), so I wanted to include the revised, final
form here for you.
Thanks!
Kelly
From: Valentine, Stephanie
Sent: Friday, March 18, 2016 1:36 PM
To: Terpak, Kelly
Subject: RE: Evidence of Effectiveness Standard Form

As soon as the ICR package for 1894‐0001 – Streamlined Clearance for Discretionary Grants – ends its 60 day comment 
period, I will include this form with the ICR and submit it for review to OMB as part of the package. The comment period 
for this ICR ends on April 26, About a few days prior to that, I’ll add the form to the package and prepare it for review by 
our Team Lead for OMB Submission. Upon her Ok to do so, I’ll submit for publication a 30 day notice. This notice will 
include some language that will tell the public about this new form. 

Stephanie Valentine 
Management and Program Analyst 
OM/OCPO/ICCD 
LBJ 2E105 
202‐401‐0526 

From: Terpak, Kelly
Sent: Friday, March 18, 2016 12:55 PM
To: Valentine, Stephanie
Subject: RE: Evidence of Effectiveness Standard Form

Stephanie,
What are the next steps that we need to do?
Kelly
From: Mar, Sharon [mailto:[email protected]]
Sent: Thursday, March 03, 2016 11:08 AM
To: Terpak, Kelly; Valentine, Stephanie
Cc: Axt, Kathy
Subject: RE: Evidence of Effectiveness Standard Form

Thanks for the clarification Kelly. 

All‐  I’m okay with submitting this as a change request. 
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Thanks, 
sharon 
From: Terpak, Kelly [mailto:[email protected]]  
Sent: Thursday, March 03, 2016 10:57 AM 
To: Mar, Sharon ; Valentine, Stephanie  
Cc: Axt, Kathy  
Subject: RE: Evidence of Effectiveness Standard Form 

Hi Sharon, sorry for my confusion. 

I actually think the form will reduce the burden, as it creates a structure for the information we are requesting. Currently
we ask an applicant to provide all of this information in an appendix, but each applicant is left with creating their own
structure for that appendix narrative. Additionally, the information is generally presented in a narrative, which can be
difficult to follow—and the chart on the form will make it easier for the applicant to provide the citation and then the write
up of the relevance of the citation to the proposed grant project. 

Basically the form takes what was in narrative already and creates boxes in which the applicant will plug in the
information. The form will help an applicant ensure they have all of the necessary information completed, as a blank box
or column will indicate missing information. 

With this form, we will stop providing instructions in the NIAs and application packages about providing this information in
a narrative in the appendix. Instead, we will reference this form and ask the applicant to complete this form, along with
the other forms and parts of their grant application. We actually think it should be pretty seamless transition and reduce
overall burden. 

It will apply to all discretionary grants (where applicable, where evidence is involved).  

From: Mar, Sharon [mailto:[email protected]]
Sent: Thursday, March 03, 2016 8:21 AM
To: Terpak, Kelly; Valentine, Stephanie
Cc: Axt, Kathy
Subject: RE: Evidence of Effectiveness Standard Form 

Sorry, I don’t mean burden in the traditional sense but burden in that if we had notice and comment they would have 
many views… 

From: Terpak, Kelly [mailto:[email protected]]  
Sent: Thursday, March 03, 2016 8:19 AM 
To: Mar, Sharon ; Valentine, Stephanie  
Cc: Axt, Kathy  
Subject: RE: Evidence of Effectiveness Standard Form 

We don’t see it as increasing the burden. If anything, it simplifies the process as the format for providing this information
is established by the form itself. 

From: Mar, Sharon [mailto:[email protected]]
Sent: Thursday, March 03, 2016 8:14 AM
To: Terpak, Kelly; Valentine, Stephanie
Cc: Axt, Kathy
Subject: RE: Evidence of Effectiveness Standard Form 

Will this change “burden” applicants at all?  I.e. changing the way in which they provide you information traditionally or 
is this meant to improve it? 
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From: Terpak, Kelly [mailto:[email protected]]  
Sent: Thursday, March 03, 2016 7:29 AM 
To: Mar, Sharon ; Valentine, Stephanie  
Cc: Axt, Kathy  
Subject: RE: Evidence of Effectiveness Standard Form 

That is correct. We are currently asking applicants to include this information in an appendix, but a form would provide
structure and organization to this information and ensure it’s all in one location. 

From: Mar, Sharon [mailto:[email protected]]
Sent: Wednesday, March 02, 2016 6:08 PM
To: Valentine, Stephanie
Cc: Axt, Kathy; Terpak, Kelly
Subject: RE: Evidence of Effectiveness Standard Form 

So this is SOLEY putting a framework around questions and information that is already required? 

Sharon Mar 
Policy Analyst 
OMB│Office of Information and Regulatory Affairs 
Tel: 202.395.6466│Fax: 202.395.5167│[email protected] 

From: Valentine, Stephanie [mailto:[email protected]]  
Sent: Wednesday, March 2, 2016 6:01 PM 
To: Mar, Sharon  
Cc: Axt, Kathy ; Terpak, Kelly  
Subject: RE: Evidence of Effectiveness Standard Form 

To my knowledge – no. Applicants will be required to provide the information in form only. There was some concern 
about accounting for that properly. 

Stephanie Valentine 
Management and Program Analyst 
OM/OCPO/ICCD 
LBJ 2E105 
202‐401‐0526 

From: Mar, Sharon [mailto:[email protected]]
Sent: Wednesday, March 02, 2016 5:57 PM
To: Valentine, Stephanie
Cc: Axt, Kathy; Terpak, Kelly
Subject: RE: Evidence of Effectiveness Standard Form 

Stephanie, 

You said this form will take 1.5 hours to complete.  Are we double counting since this requirement for this information 
already exists in the narrative portions?  Please clarify. 

Sharon Mar 
Policy Analyst 
OMB│Office of Information and Regulatory Affairs 
Tel: 202.395.6466│Fax: 202.395.5167│[email protected] 

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From: Valentine, Stephanie [mailto:[email protected]]  
Sent: Wednesday, March 2, 2016 11:00 AM 
To: Mar, Sharon  
Cc: Axt, Kathy ; Terpak, Kelly  
Subject: Evidence of Effectiveness Standard Form 

Hi Sharon – I have a question for you. We’ve received a request to submit the attached form for review and we’re 
wondering if this is appropriate to submit as an 83C. Here’s the deal. 

This form will be used in conjunction with our generic and discretionary grants that are submitted. Currently the 
information contained in this proposed form is captured as narrative in the application. What they are looking to do is 
capture the information contained in the narrative into this form so that it’s all in one place. They are estimating that it 
will take on average 1.5 hours to complete this form. 

Kelly – correct me if I’ve misrepresented anything. 

We do anticipate that there may need to be a public comment period to give the public a chance to respond to it. The 
program office is flexible in the time needed to obtain approval – whether it’s a short public comment period or if a full 
clearance is required.  

Any guidance you could provide on how we should proceed is greatly appreciated. 

Stephanie Valentine 
Management and Program Analyst 
OM/OCPO/ICCD 
LBJ 2E105 
202‐401‐0526 

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