Racial and Ethnic Disparities in Human Services Analysis Execution Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix E_Recruitment Email_Research Team_TANF Participants_Tablet Participants_Likely Eligible.docx	Supplementary Document	Uploaded 2022-09-21	Repair queued
Appendix D_Recruitment Email_Script_Recruiters of TANF Participants_Tablet Participants_Likely Eligible.docx	Supplementary Document	Uploaded 2022-09-21	Repair queued
Appendix C_ Recruitment Email and Script for Recruiters of TANF Staff_kc.docx	Supplementary Document	Uploaded 2022-09-21	Repair queued
Appendix B_ Recruitment Email Research Team_TANF AdminStaff_CBOs_Tablet Providers_Program Partners_kc.docx	Supplementary Document	Uploaded 2022-09-21	Repair queued
Appendix A_ Study Information for TANF Program Participants, Tablet Program Participants, and Individuals Likely Eligible but Not Receiving TANF .docx	Supplementary Document	Uploaded 2022-09-21	Repair queued
Supporting Statement B_RED-X_ 9.16.22.docx	Supporting Statement B	Uploaded 2022-09-21	Repair queued
Supporting Statement A_RED-X_ 9.16.22.docx	Supporting Statement A	Uploaded 2022-09-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256030	Instrument G: Individuals Likely Eligible but Not Receiving TANF Guide (Focus Groups)	Other-Focus Group Guide	New
256029	Instrument G: Individuals Likely Eligible but Not Receiving TANF Guide (Interviews)	Other-Interview Guide	New
256028	Instrument F: Tablet Program Participants Guide (Focus Groups)	Other-Focus Group Guide	New
256027	Instrument E: TANF Program Participants Guide (Focus Groups)	Other-Focus Group Guide	New
256026	Instrument E: TANF Program Participants Guide (Interviews)	Other-Interview Guide	New
256025	Instrument D: Tablet Providers and Program Partners Guide (Interviews)	Other-Interview Guide	New
256024	Instrument C: Community-Based Organizations Guide (Interviews)	Other-Interview Guide	New
256019	Instrument B: Local TANF Frontline Staff Guide (Focus Groups)	Other-Focus Group Guide	New
256018	Instrument B: Local TANF Frontline Staff Guide (Interviews)	Other-Interview Guide	New
256017	Instrument A: State and Regional TANF Administrators Guide (Interviews)	Other-Interview Guide	New

ICR Details

OMB Control No:	ICR Reference No: 202209-0970-010
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Racial and Ethnic Disparities in Human Services Analysis Execution Project
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: 09/22/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	26 Months From Approved
Responses	71	0
Time Burden (Hours)	86	0
Cost Burden (Dollars)	0	0

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Abstract: The Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the Department of Health and Human Services (HHS) seeks approval for a one-time qualitative study to explore how changes made to respond to the COVID-19 pandemic in one state’s Temporary Assistance for Needy Families (TANF) program’s policies and service delivery system were experienced by different racial and ethnic groups in that state. The goal is to obtain an in-depth understanding of how TANF participants of different racial and ethnic backgrounds experienced these policy and programmatic changes by comparing those experiences within three purposively selected sites in one state and to assess whether those changes may have helped to ameliorate or potentially created new challenges around program and benefit access for different populations.

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Authorizing Statute(s): PL: Pub.L. 115 - 31 413 Name of Law: Social Security Act, as amended by the FY 2017 Consolidated Appropriations Act, 2017
  

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 42180	07/14/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 57901	09/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Instrument A: State and Regional TANF Administrators Guide (Interviews)
Instrument B: Local TANF Frontline Staff Guide (Focus Groups)
Instrument B: Local TANF Frontline Staff Guide (Interviews)
Instrument C: Community-Based Organizations Guide (Interviews)
Instrument D: Tablet Providers and Program Partners Guide (Interviews)
Instrument E: TANF Program Participants Guide (Focus Groups)
Instrument E: TANF Program Participants Guide (Interviews)
Instrument F: Tablet Program Participants Guide (Focus Groups)
Instrument G: Individuals Likely Eligible but Not Receiving TANF Guide (Focus Groups)
Instrument G: Individuals Likely Eligible but Not Receiving TANF Guide (Interviews)

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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	71	0	0	68	3	0
Annual Time Burden (Hours)	86	0	0	83	3	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 information collection request.

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Annual Cost to Federal Government: $105,000

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? Yes

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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: 09/22/2022

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