Autism CARES Act Initiative Evaluation

Forms and Documents

Document	Type	Status	Availability
Form H Research Quantitative Data Collection Form (Attachment H)	Form and Instruction	Modified	Available
Form B Grantee Survey (State Systems Grantees) (Attach B)	Form and Instruction	Modified	Available
Form B1 Grantee Survey (Training and Research Grantees) (Attach B)	Form and Instruction	Modified	Available
Supporting Statement A_Final.docx	Supporting Statement A	Uploaded 2020-06-16	Available
Summary of Proposed Revisions.docx	Supplementary Document	Uploaded 2020-06-16	Available
Attachment J_Definitions of Key Terms Used in Grantee Survey.docx	Supplementary Document	Uploaded 2020-06-16	Available
Attachment I_Data Collection Process.docx	Supplementary Document	Uploaded 2020-06-16	Available
Attachment A_Autism CARES Act of 2014 and Autism CARES Act of 2019.pdf	Supplementary Document	Uploaded 2020-06-16	Available
Supporting Statement B_Final.docx	Supporting Statement B	Uploaded 2020-06-16	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
209772	SPHARC Interview Guide (Attachment G)	Instruction	Modified
209771	ITAC Interview Guide (Attachment F)	Instruction	Modified
209770	Research Quantitative Data Collection Form (Attachment H)	Form and Instruction	Modified
209769	Research Interview Guide (Attachment D)	Instruction	Modified
209768	State Systems Interview Guide (Attachment E)	Instruction	Modified
209767	Training Interview Guide (Attachment C)	Instruction	Modified
209766	Grantee Survey (State Systems Grantees) (Attach B)	Form and Instruction	Modified
194884	Grantee Survey (Training and Research Grantees) (Attach B)	Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0335	ICR Reference No: 202006-0915-003
Status: Active	Previous ICR Reference No: 201703-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No: 21064
Title: Autism CARES Act Initiative Evaluation
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: 07/21/2020
	Date Received in OIRA: 06/18/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	405	0	177
Time Burden (Hours)	304	0	182
Cost Burden (Dollars)	0	0	0

---

Abstract: The information gathered through this data collection effort will inform MCHB and its stakeholders on grantee activities and inform HHS’s Interagency Report to Congress. The respondents include project directors from the following HRSA programs: Leadership Education in Neurodevelopmental Disabilities (LEND) training programs (43 grantees), Developmental Behavioral Pediatrics Program (DBP) (10 grantees), Research Program (10 grantees), State Implementation Program (9 grantees), and Resource Centers (2 grantees).

---

Authorizing Statute(s): PL: Pub.L. 113 - 157 0 Name of Law: Autism Collaboration, Accountability, Research, Education, and Support Act of 2014
  

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:
	85 FR 13173	03/06/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 35940	06/12/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
State Systems Interview Guide (Attachment E)
ITAC Interview Guide (Attachment F)
SPHARC Interview Guide (Attachment G)
Grantee Survey (Training and Research Grantees) (Attach B)	B1	Attachment B_Grantee Survey.docx
Grantee Survey (State Systems Grantees) (Attach B)	B	Attachment B_Grantee Survey.docx
Training Interview Guide (Attachment C)
Research Interview Guide (Attachment D)
Research Quantitative Data Collection Form (Attachment H)	H	Attachment H_Research Quantitative Data Collection Form.docx

---

ICR Summary 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	405	177	0	228	0	0
Annual Time Burden (Hours)	304	182	0	122	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: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: There was an increase in respondents for some of the forms/guides, causing an increase in burden. A decrease in redundancy caused a decrease in burden some of the guides/forms. The total in ROCIS is slightly higher than the SS A as ROCIS rounds up numbers.

---

Annual Cost to Federal Government: $511,232

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]? 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

---

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: 06/18/2020

---