Autism CARES Act Initiative Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 7 Research Network Questionnaire	Form and Instruction	Modified	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2017-03-24	Available
FINALSupporting Statement A.docx	Supporting Statement A	Uploaded 2017-03-24	Available
B_summary of protocol changes.docx	Supplementary Document	Uploaded 2017-03-24	Available
A_Autism CARES Public Law 071516.docx	Supplementary Document	Uploaded 2017-03-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209772	Resource Centers Interview Protocol - ITAC and SPHARC	Instruction	Modified
209771	Research Network Questionnaire	Form and Instruction	Modified
209770	R40 Interview Protocol	Instruction	Modified
209769	Research Network Interview Protocol	Instruction	Modified
209768	State Innovation in Care Integration State Grantees Interview Protocol	Instruction	Modified
209767	State Implementaiton Grant Interview Protocol	Instruction	Modified
209766	DBP Interview Protocol	Instruction	Modified
194884	Combating Autism Act Initiative Evalutation - Training Programs - LEND	Instruction	Modified

ICR Details

OMB Control No: 0915-0335	ICR Reference No: 201703-0915-001
Status: Historical Active	Previous ICR Reference No: 201312-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No: 21064
Title: Autism CARES Act Initiative Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/2017
	Date Received in OIRA: 03/28/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	177	0	107
Time Burden (Hours)	182	0	110
Cost Burden (Dollars)	0	0	0

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Abstract: The information gathered through this data collection effort will inform MCHB and its stakeholders on grantee activities and inform HHS’s Interagency Report to Congress. The respondents include project directors from the following HRSA programs: Leadership Education in Neurodevelopmental Disabilities (LEND) training programs (43 grantees), Developmental Behavioral Pediatrics Program (DBP) (10 grantees), Research Program (10 grantees), State Implementation Program (9 grantees), and Resource Centers (2 grantees).

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Authorizing Statute(s): PL: Pub.L. 113 - 157 0 Name of Law: Autism Collaboration, Accountability, Research, Education, and Support Act of 2014
  

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 73117	10/24/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 6579	01/19/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Research Network Questionnaire	7	Research Network Quantative Data Collection Tool
Resource Centers Interview Protocol - ITAC and SPHARC
Combating Autism Act Initiative Evalutation - Training Programs - LEND
DBP Interview Protocol
State Implementaiton Grant Interview Protocol
State Innovation in Care Integration State Grantees Interview Protocol
Research Network Interview Protocol
R40 Interview Protocol

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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	177	107	0	70	0	0
Annual Time Burden (Hours)	182	110	0	72	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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: Changes in interview protocols have either increased or decreased burdens for this ICR. A summary of changes have been attached in supplementary documents. The burden hours are slightly off due to combining the last two forms into one IC form since they both had the same burden.

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Annual Cost to Federal Government: $253,000

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

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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: 03/28/2017

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