OPRE Descriptive Study - Sexual Risk Avoidance Education Program Performance Analysis Study (SRAE PAS) [Descriptive Study - Performance Measures]

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Instrument 4 - Sub-awardee Data Collection and Reporting Form	Form and Instruction	New	Available
Form 1 Instrument 3 - Performance Reporting Data Entry Form	Form and Instruction	New	Available
SRAE PAS_ SSB_080519_clean_092619.docx	Supporting Statement B	Uploaded 2019-10-23	Available
SRAE PAS_ SSA_080519_clean_092519.docx	Supporting Statement A	Uploaded 2019-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236139	Instrument 4 - Sub-awardee Data Collection and Reporting Form	Form and Instruction	New
236138	Instrument 3 - Performance Reporting Data Entry Form	Form and Instruction	New
236137	Instrument 2 - Participant Exit Survey	Other-Survey	New
236136	Instrument 1 - Participant Entry Survey	Other-Survey	New

ICR Details

OMB Control No: 0970-0536	ICR Reference No: 201905-0970-014
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: OPRE Descriptive Study - Sexual Risk Avoidance Education Program Performance Analysis Study (SRAE PAS) [Descriptive Study - Performance Measures]
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: 10/23/2019
	Date Received in OIRA: 05/28/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved
Responses	784,616	0	0
Time Burden (Hours)	215,045	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Sexual Risk Avoidance Education Program Performance Analysis Study (SRAE PAS) is a descriptive study that seeks to collect performance measures data from SRAE program participants and providers that will allow both the program office and grantees to monitor and report on progress in implementing SRAE programs. With this new information collection request (ICR), the Family and Youth Services Bureau (FYSB) and Office of Planning, Research, and Evaluation (OPRE) in the Administration for Children and Families (ACF) at the Department of Health and Human Services (HHS) seek approval for collecting data from SRAE program participants and providers. These data will provide ACF with up-to-date information on youth participant characteristics, service receipt, and outcomes, and on program infrastructure, reach and scope, and program content. This is the first federal effort to collect performance measures data on sexual risk avoidance programming.

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Authorizing Statute(s): PL: Pub.L. 115 - 31 Division H, Title II Name of Law: Consolidated Appropriations 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 741	01/31/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 23794	05/23/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Instrument 4 - Sub-awardee Data Collection and Reporting Form	1	Sub-awardee Data Collection and Reporting Form
Instrument 3 - Performance Reporting Data Entry Form	1, 1	SRAE Performance Reporting System Data Entry Form
Instrument 1 - Participant Entry Survey
Instrument 2 - Participant Exit Survey

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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	784,616	0	0	784,616	0	0
Annual Time Burden (Hours)	215,045	0	0	215,045	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 is a new data collection effort.

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Annual Cost to Federal Government: $1,646,001

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.     Yes

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: 05/28/2019

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