Sexual Risk Avoidance Education (SRAE) National Evaluation Overarching Generic

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SRAENE_Generic_SSB 05.20.2025.docx	Supporting Statement B	Uploaded 2025-05-22	Repair queued
SRAENE_Generic_SSB 05.20.2025.docx	Supporting Statement B	Uploaded 2025-05-22	Repair queued
SRAENE_Generic_SSA 05.20.2025.docx	Supporting Statement A	Uploaded 2025-05-22	Repair queued
SRAENE_Generic_SSA 05.20.2025.docx	Supporting Statement A	Uploaded 2025-05-22	Available
Appendix B. Instrument 1 Item Source List.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Appendix B. Instrument 1 Item Source List.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Appendix A_Example consent and assent forms.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Appendix A_Example consent and assent forms.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 9. Report Template-Descriptive Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 9. Report Template-Descriptive Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 8. Report Template-Impact Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 8. Report Template-Impact Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 7. Analysis Plan- Descriptive Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Available
Instrument 7. Analysis Plan- Descriptive Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 6. Analysis Plan-Impact Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 6. Analysis Plan-Impact Evaluations.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 5. Facilitator Exit Ticket.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 5. Facilitator Exit Ticket.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 4. Youth Exit Ticket.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 4. Youth Exit Ticket.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 3. Youth Topic Guide.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 3. Youth Topic Guide.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 2. Admin, staff Guide.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 2. Admin, staff Guide.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 1. Youth Survey.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Instrument 1. Youth Survey.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
275426	Youth survey for proof-of-concept study	Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 202504-0970-016
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Sexual Risk Avoidance Education (SRAE) National Evaluation Overarching Generic
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 09/29/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/03/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This Information Collection Request is for an overarching generic clearance to collect data from programs delivered by Sexual Risk Avoidance Education (SRAE) grant recipients on behalf of the SRAE National Evaluation. The information collected under this generic clearance is intended to identify innovative implementation strategies and program components used by SRAE grant recipients. There is not extensive evidence on SRAE programming to inform SRAE grant recipients’ implementation and program improvement efforts. To add to this limited body of evidence and support ACF’s administration of the SRAE grant program, the SRAE National Evaluation includes data collection to identify strategies and components that have the potential to improve the delivery and/or quality of SRAE programming. This work is rapid and iterative to allow any learnings to be disseminated to SRAE grant recipients during their grant award periods. As the study team identifies strategies ready for evaluation, rapid, responsive work will be undertaken to allow any learnings to be disseminated back to SRAE grant recipients within their grant award periods. For these reasons, ACF’s Office of Planning, Research, and Evaluation is seeking approval for an overarching generic clearance. We have identified one innovative strategy that we would like to learn more about immediately upon approval of this overarching generic clearance, before planning a more in-depth study that would be reflected in a future submission to OMB. This initial GenIC request is included within the request for the new umbrella generic; future GenICs will be submitted individually.

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Authorizing Statute(s): US Code: 42 USC 710 Name of Law: Social Security Act; Public Health and Welfare
  

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:
	89 FR 105050	12/26/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 23530	06/03/2025
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
Youth survey for proof-of-concept study

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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 request for a new umbrella generic and one individual request under the umbrella.

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Annual Cost to Federal Government: $823,399

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.     Yes

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: 06/03/2025

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