Family Planning Annual Report: Forms and Instructions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0990-0221 Family Planning Annual Report: Forms and Instructions	Form and Instruction	Modified	Available
0990-0221 FPAR STATISTICAL METHODOLOGY.docx	Supporting Statement B	Uploaded 2019-10-30	Available
30-day FRN 0990-0221_published.doc	Supplementary Document	Uploaded 2019-10-30	Available
D_Family Planning Annual Report 2017 National Summary.pdf	Supplementary Document	Uploaded 2019-10-30	Available
C_60-day FRN 0990-0221published.pdf	Supplementary Document	Uploaded 2019-10-30	Available
B_Family Planning Annual Report Forms and Instructions (Reissued October 2016).pdf	Supplementary Document	Uploaded 2019-10-30	Available
FPAR Renewal 2019 Supporting Statement_10.30.19.docx	Supporting Statement A	Uploaded 2019-10-30	Available
A_Authorizing Leg & Regs.pdf	Supplementary Document	Uploaded 2016-07-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10341	Family Planning Annual Report: Forms and Instructions	Form and Instruction	Modified

ICR Details

OMB Control No: 0990-0221	ICR Reference No: 201909-0990-001
Status: Active	Previous ICR Reference No: 201604-0990-005
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 19606
Title: Family Planning Annual Report: Forms and Instructions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2020
	Date Received in OIRA: 10/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved	12/31/2019
Responses	93	0	93
Time Burden (Hours)	3,348	0	3,348
Cost Burden (Dollars)	205,251	0	205,251

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Abstract: This annual reporting requirement is for family planning service delivery projects authorized and funded under the Population Research and Voluntary Family Planning Programs (Section 1001 Title X of the Public Health Service Act, 42 USC 300). The FPAR is the only source of annual, uniform reporting by all Title X family planning service grantees. OPA uses FPAR data to monitor compliance with statutory requirements, to comply with accountability and performance requirements of GPRA and HHS plans, and to guide program planning and evaluation.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 3598 Name of Law: Patient Protection and Affordable Care Act (ACA)
   US Code: 42 USC 300 Name of Law: Public Health Service Act
   PL: Pub.L. 91 - 572 1001 Name of Law: Population Research and Voluntary Family Planning Programs
  

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 43609	08/21/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 58160	10/30/2019
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Family Planning Annual Report: Forms and Instructions	0990-0221	FPAR Forms and Instructions

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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	93	93	0	0	0	0
Annual Time Burden (Hours)	3,348	3,348	0	0	0	0
Annual Cost Burden (Dollars)	205,251	205,251	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:

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Annual Cost to Federal Government: $411,600

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: 10/30/2019

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