Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement At-Risk of Homelessness: Phase II

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
6 YARH2_Attachment C_Consent statement.docx	Supplementary Document	Uploaded 2017-04-12	Available
2 YARH2_Supporting Statement B_clean.docx	Supporting Statement B	Uploaded 2017-04-12	Available
1 YARH2_Supporting Statement A_clean 04.05.17.docx	Supporting Statement A	Uploaded 2017-04-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226355	Discussion guide: individual and small-group interviews (Instrument 1)	Other-Discussion Guide	New
226354	Communications for site visit planning (Attachments A&B)	Other-Site planning communications	New
210995	Discussion Guide: Focus Groups	Other-Discussion Guide	Removed
210994	Discussion Guide: Individual Interviews	Other-Discussion Guide	Removed
210993	Communications for Site Visit Planning	Instruction	Removed
210089	Survey of Organizational Readiness and Partnership	Other-Survey	Removed
210088	Survey Sampling Form	Other-Sampling Form	Removed

ICR Details

OMB Control No: 0970-0445	ICR Reference No: 201704-0970-001
Status: Historical Active	Previous ICR Reference No: 201410-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: 21317
Title: Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement At-Risk of Homelessness: Phase II
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/24/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/25/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	12 Months From Approved	04/30/2016
Responses	66	0	450
Time Burden (Hours)	96	0	514
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research and Evaluation (OPRE), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS) seeks approval for data collection activities with grantee and partner organizations that are receiving implementation grant funds through the Children’s Bureau (CB) in ACF. These activities will include (1) communication related to planning site visits, and (2) individual interviews or small-group interviews with key informants during site visits to be used for a process study of these implementation grants. The process study will assess the barriers and facilitators grantees experienced designing and implementing comprehensive model interventions to address homelessness among youth ages 14 to 21 currently or formerly in foster care. The process study will also assess how a multiphase grant effort supported grantees in implementing and preparing for rigorous evaluation of their model interventions.

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Authorizing Statute(s): US Code: 42 USC 5106(b)(5), Section 105(b)(5) Name of Law: Child Abuse Prevention and Treatment Act of 1978
  

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 78160	11/07/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18908	04/24/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Communications for Site Visit Planning
Communications for site visit planning (Attachments A&B)
Discussion Guide: Focus Groups
Discussion Guide: Individual Interviews
Discussion guide: individual and small-group interviews (Instrument 1)
Survey Sampling Form
Survey of Organizational Readiness and Partnership

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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	66	450	0	-384	0	0
Annual Time Burden (Hours)	96	514	0	-418	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: Miscellaneous Actions

Short Statement: All data collection for phase one of this project is completed. This request is for additional burden under OMB #0970-0445 for phase two of the study.

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Annual Cost to Federal Government: $651,056

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: 04/25/2017

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