Project Outcomes Assessment Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ATTACHMENT A Explanation for Program Changes or Adjustments .docx	Supplementary Document	Uploaded 2022-03-25	Repair queued
Supporting Satement - HHS 2022 ANA Project Outcome Assessment Survey_3.25.22.docx	Supporting Statement A	Uploaded 2022-03-25	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192493	Project Outcome Assesment Survey (POAS)	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0379	ICR Reference No: 202203-0970-008
Status: Received in OIRA	Previous ICR Reference No: 201905-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: ANA
Title: Project Outcomes Assessment Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/30/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2022
Responses	28	85
Time Burden (Hours)	170	510
Cost Burden (Dollars)	0	0

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Abstract: The information collected by the Project Outcome Assessment Survey (POAS) is needed for two main reasons: 1) to collect crucial information required to report on the Administration for Children and Families (ACF) Administration for Native Americans' (ANA) established Government Performance and Results Act (GPRA) measures, and 2) to properly abide by ANA's congressionally-mandated statute (42 United States Code 2992 et seq.) found under the section titled ‘Evaluation’ in the Native American Programs Act of 1974, as amended, which states that ANA will evaluate projects assisted through ANA grant dollars “including evaluations that describe and measure the impact of such projects, their effectiveness in achieving stated goals, their impact on related programs, and their structure and mechanisms for delivery of services.” The information collected with this survey will fulfill ANA's statutory requirement. This request is for a revision to the approved collection under OMB #0970-0379. ANA proposes the following changes to the POAS: • Removed several questions that were determined to be superfluous and not reviewed by analysts. • Added more in-depth qualitative questions • Clarified some questions that were noted as ambiguous. Attachment A provides an overview of the changes.

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Authorizing Statute(s): US Code: 42 USC 2992 Name of Law: Native American Programs 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:
	87 FR 3562	01/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 18370	03/30/2022
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
Project Outcome Assesment Survey (POAS)

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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	28	85	0	-57	0	0
Annual Time Burden (Hours)	170	510	0	-340	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Adjustments to the POAS form were made to allow for ease in completion of the end of project survey. This information collection compliments the On-Going Progress Report (OMB #: 0970-0452). Questions in the POAS were eliminated, re-organized and re-numbered to consolidate questions. For example, some questions were removed because they are no longer analyzed by ANA or the program no longer exists. Also, questions were rephrased for clarification purposes with few additional requests to the primary content. As previously approved questions have been eliminated, renumbered or replaced, there should be no considerable increase or decrease in burden to the grantee. Therefore, the burden estimate provided remains consistent at six hours. Overall burden in ROCIS has been updated to appropriately reflect a total burden of 510 hours over a three year period, and therefore an average of 170 hours per year.

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Annual Cost to Federal Government: $13,400

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: 03/30/2022

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