Ensuring Access to Equitable, Affordable, Client-centered, Quality Family Planning Services

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Final Rule - Supporting Statement Part A (updated 11 01 2021).docx	Supporting Statement A	Uploaded 2021-11-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249923	Title X Grant Requirements		New
246828	Documentation of Compliance		Removed
246827	Assurance of Compliance		Removed

ICR Details

OMB Control No: 0937-0211	ICR Reference No: 202110-0937-005
Status: Received in OIRA	Previous ICR Reference No: 202104-0937-002
Agency/Subagency: HHS/OASH	Agency Tracking No:
Title: Ensuring Access to Equitable, Affordable, Client-centered, Quality Family Planning Services
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/01/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	136	0
Time Burden (Hours)	9,520	0
Cost Burden (Dollars)	7,530	0

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Abstract: HHS revised the regulatory requirements of the Title X program by readopting 2000 regulations with modifications and revoked the 2019 Final Rule in its entirety. These revised regulations require Title X applicants and grantees to report certain information in grant applications that is necessary for the Office of Population Affairs to administer the Title X grant program. This Information Collection Request outlines theinformation collection requirements. For more information, please refer to the final rule as published in the Federal Register.

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Authorizing Statute(s): US Code: 42 USC 300 through a-6 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: US Code: 42 USC 300-a-6 Name of Law: Public Health Service Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0937-AA11	Final or interim final rulemaking	86 FR 56144	10/07/2021

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 19812	04/15/2021
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
Assurance of Compliance
Documentation of Compliance
Title X Grant Requirements

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	136	0	2,120	136	-2,120	0
Annual Time Burden (Hours)	9,520	0	8,480	9,520	-8,480	0
Annual Cost Burden (Dollars)	7,530	0	0	7,530	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 comment filed on a proposed rule which reflects the additional estimated burden for the Title X grant requirements under § 59.4, 59.5, and 59.7. The increased burden was due to an adjustment.

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Annual Cost to Federal Government: $3,150

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.     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

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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: 11/01/2021

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