Prevention Services Data Collection

Forms and Documents

Document Name	Status
Form 1 Prevention Services Data Collection Form and Instruction	Modified
Supporting Statement FFPSA 3.4.22_final.docx Supporting Statement A	2022-03-04

IC Document Collections

IC ID	Document Title	Status
236040	Prevention Services Data Collection Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0529	ICR Reference No: 202203-0970-001
Status: Received in OIRA	Previous ICR Reference No: 202108-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF-CB
Title: Prevention Services Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/09/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2022
Responses	110	40
Time Burden (Hours)	3,410	1,240
Cost Burden (Dollars)	0	0

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Abstract: Section 471(e) of the Social Security Act (the Act) (42 U.S.C. 671) as amended by Public Law 115-123 allows state and tribal child welfare agencies to receive reimbursement for some of the costs of providing prevention services to certain children and their parents or kin caregivers. The Act requires state and tribal child welfare agencies that provide such services to collect and report to the Administration for Children and Families (ACF) information on children receiving the prevention and family services and programs. States and tribes must report : • The specific services or programs provided, • The total expenditures for each of the services or programs provided, • The duration of the services or programs provided, and • If the child was identified in a prevention plan as a candidate for foster care: o the child's placement status at the beginning, and at the end, of the 12-month period that begins on the date the child was identified as a candidate for foster care in a prevention plan; and o whether the child entered foster care during the initial 12-month period and during the subsequent 12-month period; and • Basic demographic information (e.g., age, sex, race/Hispanic Latino ethnicity). During the first information collection period the Children’s Bureau (CB) had 42 state and tribal jurisdictions opt into the voluntary Title IV-E Prevention Services Program which included opting in to Prevention Services data collection effort. These states and tribes are in various stages of preparing for data collection, and submitting data to the CB. Data submission for these states will continue into future reporting periods. During the next reporting period, CB anticipates that approximately twelve more states and tribes will opt into the voluntary Title IV-E Prevention Services Program, and as a result, will opt into this information collection effort. These states will then begin preparing for and submitting data to the CB. However, since this program is voluntary and therefore this number could fluctuate depending on the individual priorities of child welfare jurisdictions.

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Authorizing Statute(s): US Code: 42 USC 671 Name of Law: Social Security Act
  

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 61276	11/05/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 13293	03/09/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Prevention Services Data Collection	1	PSDC Elements

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ICR Summary 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	110	40	0	70	0	0
Annual Time Burden (Hours)	3,410	1,240	0	2,170	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 request is to continue data collection that is currently approved under OMB # 0970-0529 as required by the Title IV-E Prevention Services legislation. This includes on-going data collection from prior respondents and new respondents. In August 2021, CB made updates to the related technical bulletin and submitted these for OMB approval. No additional changes are proposed through this request for an extension to continue data collection.

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Annual Cost to Federal Government: $172,974

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: 03/09/2022

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