Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS) -Collection of Performance Measures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
50273 PREP draft NonSub Change memo_030920_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-03-09	Available
Memo - PREP PMAPS NonSub Change Request_07_29_19_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-07-29	Available
Appendix B_Consent letters and forms_clean_FOOTER_030117.docx	Supplementary Document	Uploaded 2017-04-03	Available
PMAPS- PM Supp Stat B_012717_clean_UPDATED_071919.docx	Supporting Statement B	Uploaded 2019-07-29	Available
PMAPS- PM Supp Stat A_022817_clean_UPDATED_072919_2.docx	Supporting Statement A	Uploaded 2019-07-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223555	Performance Measure Data Report Form (Instrument 4)	Other-Data Entry Form	Unchanged
223554	Performance Measures Data Report Form (Instrument 3)	Other-Data Entry Form	Modified
223553	Core measures (Instrument 5)	Other-Survey	Unchanged
223552	Exit Survey (Instruments 2 & 2a)	Other-Survey	Modified
223549	Entry Survey (Instruments 1 & 1a)	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0497	ICR Reference No: 202003-0970-004
Status: Historical Inactive	Previous ICR Reference No: 201907-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS) -Collection of Performance Measures
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 04/24/2020
	Date Received in OIRA: 03/10/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	04/30/2020	06/30/2020
Responses	265,865	0	265,865
Time Burden (Hours)	51,311	0	51,311
Cost Burden (Dollars)	0	0	0

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Abstract: Based on grantee and ACF leadership feedback on the participant entry and exit surveys, we have made revisions, which are reflected in this nonsubstantive change request. Revisions include the following: Two Versions of the Entry and Exit Surveys (Instruments #1 and #2). 1. We have developed a version of the entry and exit surveys that excludes items on some of the more sensitive subjects. This version of the surveys would be available for use with youth in middle-school age groups. These are labeled Instruments #1a and #2a. • Items on sexual activity and incidence of pregnancy (questions 14 through 20 in the original version of the entry survey) were removed from Instrument #1a. • Items on participants’ perceptions of PREP’s influence on their plans to engage in sexual activity and the importance of various reasons in decisions to not have sexual intercourse (Questions 15 through 17 in the original version of the exit survey) were removed from Instrument #2a. 2. We will use the original version of the entry and exit surveys with high school and older age groups, with the following updates. These are labeled Instruments #1 and #2. • Removal of response categories for younger ages from Question 1. • Removal of response categories for younger grades and inclusion of an additional response category in Question 2. Edits to Questions Across All Entry and Exit Surveys • Delete Question #6 in all versions of the entry and exit surveys. • Include an additional response category to Question #8 in all versions of the entry and exit surveys. Edits to Instrument #3 (Performance reporting system data form) • Updates were made to reflect changes to the Entry and Exit Surveys. No changes are requested for Instrument #4. The updates do not impact average burden estimates.

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Authorizing Statute(s): PL: Pub.L. 114 - 10 215 Name of Law: Medicare Access and CHIP Reauthorization Act of 2015
  

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:
	81 FR 21353	04/11/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 63763	09/16/2016
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
Entry Survey (Instruments 1 & 1a)
Exit Survey (Instruments 2 & 2a)
Performance Measures Data Report Form (Instrument 3)
Performance Measure Data Report Form (Instrument 4)
Core measures (Instrument 5)

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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: $285,419

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: 03/10/2020

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