Cross-site Study Data for Improving Implementation Evaluation among Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) Grantees to inform National Implementations (IMAGIN)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30 DAY FRN 4242019-08192.pdf	Supplementary Document	Uploaded 2019-04-24	Available
TPP Authorizing Legislation.pdf	Supplementary Document	Uploaded 2019-04-11	Available
USCODE-2011-title42-chap6A-subchapII-partA-sec241.pdf	Supplementary Document	Uploaded 2019-04-10	Available
0990_new_7 IMAGIN Attachment E_Confidentiality Pledge_Example_4.19.docx	Supplementary Document	Uploaded 2019-04-23	Available
0990_new_6 IMAGIN_Attachment D_Persons Consulted_1.24.19.docx	Supplementary Document	Uploaded 2019-03-07	Available
0990_new_5 IMAGIN_Attachment C_Front Line Staff Survey Email_1.24.19.docx	Supplementary Document	Uploaded 2019-03-07	Available
0990_new_4 IMAGIN_Attachment B_Site Visit Planning Email_1.24.19.docx	Supplementary Document	Uploaded 2019-03-07	Available
0990_new_3 IMAGIN_Attachment A_Grantee Leadership Interview Email_1.24.19.docx	Supplementary Document	Uploaded 2019-03-07	Available
2019-01597 60-day notice.pdf	Supplementary Document	Uploaded 2019-03-07	Available
Part B_9.25.19_Clean.DOCX	Supporting Statement B	Uploaded 2019-09-26	Available
Part A_9.25.19_Clean.DOCX	Supporting Statement A	Uploaded 2019-09-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235255	Grantee Leadership Interview Follow-up	Other-interview guide and script	New
235254	Community Stakeholder Interview	Other-Interview Guide	New
235253	Key Program Staff Interview	Other-interview guide	New
235252	Frontline Staff Web Survey	Other-survey and script	New
235244	Grantee Leadership Interview Initial	Other-interview guide	New

ICR Details

OMB Control No: 0990-0469	ICR Reference No: 201903-0990-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Cross-site Study Data for Improving Implementation Evaluation among Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) Grantees to inform National Implementations (IMAGIN)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/26/2019
	Date Received in OIRA: 04/29/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved
Responses	203	0	0
Time Burden (Hours)	151	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The IMAGIN Cross-Site Study will examine the process that federal Teen Pregnancy Prevention (TPP) grantees follow to get their programs and staff ready for full implementation of programs by exploring specific factors related to the program models’ readiness for implementation and evaluation, the grantee organizations’ capacity to operate and deliver the program as intended, and the local enabling context. The Office of Adolescent Health (OAH) will use data obtained from this study to identify meaningful lessons, targeted resources, and timely guidance that could help both current and future federal grantees get their programs ready to implement, and add to the evidence on the successes and challenges of implementing a teen pregnancy prevention program. The cross-site study will include up to 44 grantees receiving TPP Tier 1 and Tier 2 grants, in two cohorts: currently, OAH has funded 14 TPP18 Tier 2 grantees. By this fall, up to 30 TPP19 Tier 1 grantees are expected to receive funding, bringing the total number of grantee organizations in this study to 44. Key informant interviews with grantee leadership, community stakeholders, and key staff will be conducted, as well as a web-based survey of grantee frontline staff. OAH is requesting three years of clearance for the IMAGIN cross-site study. The analyses, when complete, will be the basis of a final implementation report that will focus on key findings about the factors that helped or hindered the process of implementation readiness in different contexts, along with actionable lessons and concrete takeaways for grantees, researchers, and funders. Aside from the specific products drawing on the cross-site study, these analyses will also play a critical role in developing targeted tools, resources, and practitioner-focused guides or briefs related to implementation readiness.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health and Welfare Research and Investigations
   PL: Pub.L. 115 - 245 Division H, Title 2 Name of Law: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019
  

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:
	84 FR 2887	02/08/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 17178	04/24/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Grantee Leadership Interview Initial
Frontline Staff Web Survey
Grantee Leadership Interview Follow-up
Key Program Staff Interview
Community Stakeholder Interview

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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	203	0	0	203	0	0
Annual Time Burden (Hours)	151	0	0	151	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: This request is for a new proposed data collection.

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Annual Cost to Federal Government: $159,289

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]? 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: 04/29/2019

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