HHSAR 337.103(d)(4), Indian Child Protection and Family Violence Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-0433-Supporting-Statement-Final_v1_2021-12-13.docx	Supporting Statement A	Uploaded 2021-12-13	Repair queued
0990-0433-resources.docx	Supplementary Document	Uploaded 2021-12-07	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217364	HHSAR 337.103(d)(4)		Modified

ICR Details

OMB Control No: 0990-0433	ICR Reference No: 202111-0990-006
Status: Received in OIRA	Previous ICR Reference No: 201810-0990-006
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: HHSAR 337.103(d)(4), Indian Child Protection and Family Violence Act
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/21/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2021
Responses	2,000	160
Time Burden (Hours)	67	160
Cost Burden (Dollars)	0	0

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Abstract: Performance of IHS mission requires the support of contractors. In some circumstances, depending on the requirements of the specific contract, the contractor is tasked to provide personnel who will be dealing with Indian children under the age of 18. Before working on the contract, each of these contractor personnel must undergo a background check as required by federal law (Indian Child Protection and Family Violence Act (ICPFVA)). The contractor is therefore required to provide information on the individual so that a proper background check can be performed.

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Authorizing Statute(s): US Code: 48 USC 337 Name of Law: Federal Acquisition Regulation
  

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:
	86 FR 45740	08/16/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 71899	12/20/2021
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
HHSAR 337.103(d)(4)

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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	2,000	160	0	0	1,840	0
Annual Time Burden (Hours)	67	160	0	0	-93	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: No

Burden Reduction Due to:

Short Statement: This is an extension of the current collection effort. There was a reduction in OMB inventory burden hours from 160 hours to 67 hours due to an adjustment in the agency estimate. The requirement for criminal background checks is routinely included in contracts/orders for medical providers including those providers intended to deal with children under the age of 18. Furthermore, many medical providers on existing contracts/orders already had successful background checks and continue to provide services.

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Annual Cost to Federal Government: $7,761

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: 12/21/2021

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