Understanding the Value of Centralized Services Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix D. Observation Guides.docx	Supplementary Document	Uploaded 2021-11-23	Repair queued
Appendix C. Observation Consent.docx	Supplementary Document	Uploaded 2021-11-23	Repair queued
Appendix B. Client Consent.docx	Supplementary Document	Uploaded 2021-11-23	Repair queued
Appendix A. Staff Consent.docx	Supplementary Document	Uploaded 2021-11-23	Repair queued
VOCS Draft SSB_final_2021-10-28_clean.docx	Supporting Statement B	Uploaded 2021-11-23	Available
VOCS Draft SSA_final_2021-10-28_clean.docx	Supporting Statement A	Uploaded 2021-11-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250525	Client Focus Group Guide	Other-Focus Group Guide	New
250523	IT/Data Interview Guide	Other-Interview Guide	New
250522	Finance Interview Guide	Other-Interview Guide	New
250520	Frontline Staff Interview Guide	Other-Interview Guide	New
250518	Leadership/ Admin Interview Guide	Other-Interview Guide	New

ICR Details

OMB Control No:	ICR Reference No: 202111-0970-006
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Understanding the Value of Centralized Services Study
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: 11/30/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	12 Months From Approved
Responses	114	0
Time Burden (Hours)	146	0
Cost Burden (Dollars)	0	0

---

Abstract: This Information Collection Request is for a new request. We are requesting one year of approval. The Understanding the Value of Centralized Services Study is a descriptive study that intends to document different models for centralizing services; the advantages, disadvantages, and costs of centralizing services; and the perspectives of staff and clients. The data collection effort will include one-time, individual and group interviews with program staff; focus groups with program clients; and observations of activities at centralized community resource centers (CCRCs).

---

Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act 1110
  

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:
	86 FR 52909	09/23/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 67711	11/29/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Client Focus Group Guide
Finance Interview Guide
Frontline Staff Interview Guide
IT/Data Interview Guide
Leadership/ Admin Interview Guide

---

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	114	0	0	114	0	0
Annual Time Burden (Hours)	146	0	0	146	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

---

Annual Cost to Federal Government: $285,333

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: 11/30/2021

---