State Access and Visitation Grant Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Child Access and Visitation Grant Application Form	Form	Modified	Available
Attachment F_Public Law 113-183.pdf	Supplementary Document	Uploaded 2019-04-18	Available
Attachment E_CFDA 93.597.pdf	Supplementary Document	Uploaded 2019-04-18	Available
Attachment D_AV T.C Addendum financial requirements.pdf	Supplementary Document	Uploaded 2019-04-18	Repair queued
Attachment C_AV General Terms and Conditions.pdf	Supplementary Document	Uploaded 2019-04-18	Available
Attachment B_Statute and Regulations for 2019 AV PRA.pdf	Supplementary Document	Uploaded 2019-04-18	Available
PRA supporting statement for AV application 4.18.19_Final.doc	Supporting Statement A	Uploaded 2019-04-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221499	Child Access and Visitation Grant Application Form	Form	Modified

ICR Details

OMB Control No: 0970-0482	ICR Reference No: 201904-0970-005
Status: Active	Previous ICR Reference No: 201605-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: State Access and Visitation Grant Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2019
	Date Received in OIRA: 04/23/2019
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	08/31/2019
Responses	54	0	54
Time Burden (Hours)	540	0	540
Cost Burden (Dollars)	0	0	0

---

Abstract: The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) created the “Grants to States for Access and Visitation” program (AV grant program). Funding for the program began in FY 1997 with a capped, annual entitlement of $10 million. The statutory goal of the program is to provide funds to states that will enable them to provide services for the purpose of increasing noncustodial parent (NCP) access to and visitation with their children. State governors decide which state entity will be responsible for implementing the AV grant program and the state determines who will be served, what services will be provided, and whether the services will be statewide or in local jurisdictions. The statute specifies certain activities which may be funded, including: voluntary and mandatory mediation, counseling, education, the development of parenting plans, supervised visitation, and the development of guidelines for visitation and alternative custody arrangements. Even though OCSE manages this program, the funding for the AV grant is separate from funding for federal and state administration of the Child Support program. Section 469B(e)(3) of the Social Security Act (Pub.L.104-193) requires that each state receiving an Access and Visitation (AV) grant award monitor, evaluate and report on such programs in accordance with regulations (45 CFR Part 303). The AV Grant Program Terms and Conditions Addendum references administration of the grant program in accordance with an approved state application. Additionally, the Catalog of Federal Domestic Assistance, states that there is an application requirement for Grants to States for Access and Visitation Programs (93.597). The application process assists OCSE in complying with this requirement and is reflective of a greater emphasis on program efficiency, coordination of services, and increased attention to family safety. We respectfully request OMB to extend the approval, without any changes, to the existing AV Grant Application (Attachment A). The application compiles information on actions and decisions related to program priorities, program administration, and program safeguards made by grantees in fulfilling their statutory responsibilities in using grant funds to increase noncustodial parent access to and visitation with their children. As such, completion of the application requires minimum burden for grantees with one application submitted in a 3 year cycle. However, the grantee is required to provide updated information to OCSE if a grantee planned to make substantive programmatic or administrative changes during the three-year period covered by the application.

---

Authorizing Statute(s): US Code: 42 USC 669b Name of Law: Grants To States For Access and Visitation Programs Sec. 469B
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 743	01/31/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 16872	04/23/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Child Access and Visitation Grant Application Form	1	AV Application

---

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	54	54	0	0	0	0
Annual Time Burden (Hours)	540	540	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $990

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  No

---

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: 04/23/2019

---