HHS Office on Women's Health State-Level Paid Family Leave Policy Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Combined Focus Group Justificaton.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-10-25	Available
Supporting_Statement-A _OWH_PFL_10_21_2019_clean.doc	Supporting Statement A	Uploaded 2019-10-24	Available
Section_B_Statistical_Methods_OWH_10_25_2019_clean.doc	Supporting Statement B	Uploaded 2019-10-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235950	Focus Group Protocol	Instruction	New
235949	Demographic Questionnaire	Other-Questionnaire	New
235948	Focus Group Eligibility Screen	Instruction	New

ICR Details

OMB Control No: 0990-0470	ICR Reference No: 201903-0990-003
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: HHS Office on Women's Health State-Level Paid Family Leave Policy Project
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: 11/05/2019
	Date Received in OIRA: 06/18/2019
Terms of Clearance: Approved consistent with the understanding that this Information Collection Request is for qualitative research to generate hypotheses, and thus is not designed to be used on its own to inform policy.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2022	36 Months From Approved
Responses	576	0	0
Time Burden (Hours)	240	0	0
Cost Burden (Dollars)	4,788	0	0

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Abstract: The Office on Women’s Health is requesting approval from the Office of Management and Budget (OMB) for a study that will explore the relationship between women’s health and state-level paid family leave (PFL) programs, which provide partial wage replacement to eligible employees to bond with a new child. The State-Level Paid Family Leave Policy Project involves the collection of information on new mothers’ health, health behaviors, and ability to fulfill their roles in the workplace, family and community. Data will be collected through 16 one-time focus groups in the four states with fully functioning state-level PFL programs (California, New Jersey, Rhode Island, and New York) with both women who used and women who did not use the program. A questionnaire will be administered prior to the focus groups to collect information on participants’ demographic characteristics and other external factors that may affect health. The project aims to increase awareness of women’s health effects in relation to state-level PFL programs among key stakeholders, including advocates, state and federal policymakers, and state program administrators. This information will be used to inform the national conversation about these programs.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service 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:
	84 FR 13047	04/03/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 26883	06/10/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Focus Group Eligibility Screen
Demographic Questionnaire
Focus Group 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	576	0	0	576	0	0
Annual Time Burden (Hours)	240	0	0	240	0	0
Annual Cost Burden (Dollars)	4,788	0	0	4,788	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: New information collection

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Annual Cost to Federal Government: $113,696

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: 06/18/2019

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