TITLE
OF INFORMATION COLLECTION:
Teen Pregnancy Prevention (TPP) Program: Performance measures Technical Assistance Survey
PURPOSE: The Office of Adolescent Health Performance Measures contract under the HHS Office of Population Affairs provides website development and technical assistance for grantees under the Teen Pregnancy Prevention (TPP) program. The TPP grantees collect and submit their performance measures through the oahpmdata.net website that the contractor developed. The contractor also provides technical assistance to grantees on how to enter data in addition to providing guidance on what data should be entered. Technical assistance is provided via live online technical assistance events, a help desk that is available via telephone and email and user guides and other tools.
The purpose of this survey is to receive feedback and suggestions from grantees on how to improve and expand technical assistance given to the performance measures system users. This feedback will be used to plan future TPP performance measures technical assistance activities.
DESCRIPTION OF RESPONDENTS:
About 366 oahpmdata.net website account holders representing 66 grantees who received TPP funding in 2020 will be invited to complete the survey. Grantees submit performance measures through oahpmdata.net twice per year.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group
[] Focus Group [ ] Other: ______________________
CERTIFICATION:
I certify the following to be true:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.
Name:___________Tara Rice_____________________________________
To assist review, please provide answers to the following question:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [ ] Yes [X ] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No
If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No
Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No
BURDEN HOURS
Category of Respondent |
No. of Respondents |
Participation Time |
Burden |
Private Sector |
366 |
10 minutes |
61 hours |
Totals |
|
|
61 hours |
FEDERAL COST: The estimated annual cost to the Federal government is__6,000.00______
If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:
The selection of your targeted respondents
Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [X] Yes []No
If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?
We will reach out to all 366 account users from the 66 grantees who received funding in 2020 and invite them to complete the survey. We will give them 2 weeks to complete the survey and will follow up with a reminder email after one week since the initial invitation. For those who do have not completed the survey after two weeks, we will extend the survey for an additional week. In total, the survey will be open for three weeks. Our goal is a 60% response rate or 220 users.
Administration of the Instrument
How will you collect the information? (Check all that apply)
[ X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain
Will interviewers or facilitators be used? [ ] Yes [ X] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
Survey with instructions
Initial invitation
Reminder email after 1 week
Extension for those who have not completed after two weeks
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.
FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:
The selection of your targeted respondents. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 0000-00-00 |
File Created | 2022-07-04 |