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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix A_60 Day FRN_PREP PMAPS Revision 2020_0970-0497_2.28.20.pdf	Supplementary Document	Uploaded 2020-04-29	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
Supporting Statement B - Revision_043020_clean_final.docx	Supporting Statement B	Uploaded 2020-04-30	Available
Supporting Statement A - Revision 043020_clean.docx	Supporting Statement A	Uploaded 2020-04-30	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	Modified
223554	Performance Measures Data Report Form - Grantees (Instrument 3)	Other-Data Entry Form	Modified
223553	Core measures (Instrument 5)	Other-Survey	Removed
223552	Exit Survey (Instrument 2)	Other-Survey	Modified
223549	Entry Survey (Instrument 1)	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0497	ICR Reference No: 202004-0970-012
Status: Historical Active	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)
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: 06/17/2020
	Date Received in OIRA: 04/30/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	204,793	0	265,865
Time Burden (Hours)	43,581	0	51,311
Cost Burden (Dollars)	0	0	0

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Abstract: This Information Collection Request is to make revisions to the previously approved participant entry and exit surveys, and to continue the ongoing data collection of the performance measures from Personal Responsibility Education Program (PREP) grantees. We are requesting three years of approval of this descriptive study.

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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:
	85 FR 11995	02/28/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 23967	04/30/2020
Did the Agency receive public comments on this ICR? No

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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
Core measures (Instrument 5)
Entry Survey (Instrument 1)
Exit Survey (Instrument 2)
Performance Measures Data Report Form - Grantees (Instrument 3)
Performance Measure Data Report Form (Instrument 4)

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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	204,793	265,865	0	-15,999	-45,073	0
Annual Time Burden (Hours)	43,581	51,311	0	-1,280	-6,450	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This data collection is a continuation of a currently approved data collection. Changes to the burden reflect estimated numbers of additional cohorts to be served by PREP grantees.

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Annual Cost to Federal Government: $484,477

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? No

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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: 04/30/2020

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