The Pregnancy Assistance Fund (PAF) Performance, FY2017-FY2019, revised for cohort 5

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2018-28227 30 Day FRN for PAF revision.pdf	Supplementary Document	Uploaded 2019-01-09	Available
0990-0460 SSA_revision_PAF PM_Draft_clean_rev122018_OMB_OAH42019_CLEAN.docx	Supporting Statement A	Uploaded 2019-05-02	Available
Attachment J PAF Performance Data System Screenshots.docx	Supplementary Document	Uploaded 2017-05-16	Available
Attach_A_PAF_AuthorizingLegislation.pdf	Supplementary Document	Uploaded 2017-05-16	Available
0990-0460_SSB _Revision_PAF PM_Draft clean.docx	Supporting Statement B	Uploaded 2018-12-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234522	Form for Grantees Funding Attorney General Office	Other-survey	New
234521	Outcomes Education Maternal Child Health	Other-survey	New
226863	Core Services	Other-survey	Modified
226862	Reach and Demographics	Other-survey instrument	Modified
226860	Partnerships and Sustainability	Other-survey	Modified
226859	Training Forms	Other-survey	Modified

ICR Details

OMB Control No: 0990-0460	ICR Reference No: 201812-0990-003
Status: Active	Previous ICR Reference No: 201701-0990-007
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: The Pregnancy Assistance Fund (PAF) Performance, FY2017-FY2019, revised for cohort 5
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/03/2019
	Date Received in OIRA: 02/26/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved	10/31/2020
Responses	117	0	76
Time Burden (Hours)	657	0	438
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Adolescent Health seeks a revision of the Pregnancy Assistance Fund (PAF) performance measures data collection. A new cohort of 23 PAF grantees was funded in 2018. PAF provides funding to States and Tribes to provide expectant and parenting teens, women, fathers and their families with a seamless network of supportive services to help them complete high school or post-secondary degrees; and to help states improve services to expectant females who experience intimate partner violence or stalking, Additional measures have been proposed for addition to the existing menu of approved measures; these additional measures reflect the language included within the most recent funding announcement. A 3 year clearance period is requested. The respondents would be the 23 state and tribal entities receiving PAF awards in 2018. Data would be collected annually.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 10104 Name of Law: Affordable Care Act
   PL: Pub.L. 103 - 62 2 Name of Law: 1993 Government Performance and Results Act
  

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:
	83 FR 49560	10/02/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 67306	12/28/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Form for Grantees Funding Attorney General Office
Reach and Demographics
Core Services
Training Forms
Partnerships and Sustainability
Outcomes Education Maternal Child Health

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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	117	76	0	41	0	0
Annual Time Burden (Hours)	657	438	0	219	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: In 2017, cohort 4 PAF grants were funded for 1 year rather than for 3 years, and a new PAF funding announcement for 2-year grants was released in late 2017 for the fifth cohort. The total number of grants funded in cohort 5 in 2018 is 23; this revision updates the burden accordingly. Measures were revised and added to reflect new language included within the most recent funding announcement. The new/revised measures reported by all grantees include changes in the types of core services that are reported, an additional metric for partnerships, additional items related to educational outcomes, maternal and child health outcomes. Revised measures reported only by grantees funding State Attorney General Offices include changes to the types of services and trainings related to violence prevention activities. More specific information is included within the supporting statement A.

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Annual Cost to Federal Government: $52,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 02/26/2019

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