Title X Implementation Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Instrument 6 Instrument 6_Client survey	Form and Instruction	New	Repair queued
Form Instrument 1 Instrument 1_Grantee web survey	Form and Instruction	New	Repair queued
TitleX_30Day_FRN_08.03.2022.pdf	Supplementary Document	Uploaded 2022-08-10	Repair queued
ATTACHMENT I_Title X 60 Day FRN.pdf	Supplementary Document	Uploaded 2022-07-25	Repair queued
ATTACHMENT H_SME INTERVIEW INVITATION EMAIL.docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
ATTACHMENT G_LISTENING SESSION INVITATION EMAIL.docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
ATTACHMENT F_GRANTEE PHONE INTERVIEW INVITATION EMAIL.docx	Supplementary Document	Uploaded 2022-07-25	Missing upstream
ATTACHMENT E_GRANTEE WEB SURVEY REMINDER EMAIL.docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
ATTACHMENT D_GRANTEE WEB SURVEY INVITATION EMAIL.docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
Attachment C_GRANTEE WEB SURVEY ADVANCE EMAIL .docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
Attachment B_RESEARCH QUESTION AND DATA SOURCE CROSSWALK.docx	Supplementary Document	Uploaded 2022-07-25	Repair queued
Attachment A_TITLE X AUTHORIZING LEGISLATION.pdf	Supplementary Document	Uploaded 2022-07-25	Repair queued
SSB - Title X Implementation Study.docx	Supporting Statement B	Uploaded 2022-07-25	Repair queued
SSA - Title X Implementation Study.docx	Supporting Statement A	Uploaded 2022-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254874	Instrument 7_Subject Matter Expert Topic Guide	Other-Interview topic guide	New
254872	Instrument 6_Client survey	Form and Instruction	New
254869	Instrument 5_Listening visit topic guide for community outreach and partner staff	Other-Listening visit topic guide	New
254867	Instrument 4_Listening visit topic guide for clinical service providers	Other-Listening visit topic guide	New
254865	Instrument 3_Listening visit topic guide for clinic administrators	Other-Listening visit topic guide	New
254864	Instrument 2_Grantee interview topic guide	Other-Interview topic guide	New
254862	Instrument 1_Grantee web survey	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202207-0990-006
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Title X Implementation 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: 08/10/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	304	0
Time Burden (Hours)	237	0
Cost Burden (Dollars)	0	0

---

Abstract: The Office of Population Affairs (OPA), U.S. Department of Health and Human Services (HHS), is requesting 3 years of approval by OMB on a new collection. The Title X Implementation Study will document how organizations funded by the Title X Service Grants program design and implement their program services. The study will document (1) how grantees ensure access to equitable, affordable, client-centered quality family planning services; (2) the steps that Title X grantees take to provide clients from diverse communities with equitable access to affordable, high-quality, client-centered health services; (3) any pivots and/or accommodations to providing care they made in recent years, including during the COVID-19 pandemic; and (4) how they assess their impact. To carry out these objectives, the study team will rely on the following five proposed data sources: (1) a web-based survey of the 2022 cohort of Title X grantees; (2) grantee telephone interviews; (3) in-person or virtual listening visits with clinic administrators, service providers, and community outreach or partner staff at a subset of Title X sub-recipients and service delivery sites; (4) a web-based survey of clients at up to 10 of the sites selected for listening visits; and (5) telephone interviews with subject matter experts. Data collection will begin in fall 2022, pending OMB approval, with the grantee survey and interviews, which will inform selection of sites for the listening visits.

---

Authorizing Statute(s): US Code: 42 USC 300 Name of Law: Public Health Service Act
  

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:
	87 FR 30507	05/19/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 47436	08/03/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Instrument 1_Grantee web survey	Instrument 1	Grantee Web Survey
Instrument 2_Grantee interview topic guide
Instrument 3_Listening visit topic guide for clinic administrators
Instrument 4_Listening visit topic guide for clinical service providers
Instrument 5_Listening visit topic guide for community outreach and partner staff
Instrument 6_Client survey	Instrument 6	Client survey
Instrument 7_Subject Matter Expert Topic 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	304	0	0	304	0	0
Annual Time Burden (Hours)	237	0	0	237	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 data collection.

---

Annual Cost to Federal Government: $11,320

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.     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

---

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: 08/10/2022

---