Compassion Capital Fund Program Evaluation-Baseline and Follow-Up

Forms and Documents

Document Name	Status
Form 0 Compassion Capital Fund Program Evaluation-Baseline and Follow-Up Form and Instruction	Modified
CCF OMB package -- extension.doc Supporting Statement B	2008-10-09
OMB package - FINAL 11.12.2008.doc Supporting Statement A	2008-11-12

IC Document Collections

IC ID	Document Title	Status
10151	Compassion Capital Fund Program Evaluation-Baseline and Follow-Up Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0293	ICR Reference No: 200811-0970-003
Status: Historical Active	Previous ICR Reference No: 200610-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Compassion Capital Fund Program Evaluation-Baseline and Follow-Up
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/12/2009
	Date Received in OIRA: 11/18/2008
Terms of Clearance: Should ACF complete data collection prior to the three year expiration date, they should submit a request to discontinue this RIN number.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved	02/28/2009
Responses	455	0	1,575
Time Burden (Hours)	190	0	583
Cost Burden (Dollars)	0	0	0

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Abstract: The Compassion Capital Fund Evaluation will evaluate the outcomes and effectiveness of organizational capacity building services provided by Intermediary organizations to faith-based and community organizations (fbco). The baseline survey will provide a description of the state of organizational capacity of the fbcos and the follow-up survey, to be administered approximately 15 months later, will provide a description of changes and improvements in organizational capacity among the organizations in the study.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act Section 1110 Cooperative Research or Demonstration Projects
  

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:
	73 FR 45453	08/05/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 61879	10/17/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Compassion Capital Fund Program Evaluation-Baseline and Follow-Up	0	a

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ICR Summary of Burden

	Total Approved	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	455	1,575	0	-1,120	0	0
Annual Time Burden (Hours)	190	583	0	-393	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: This submission is a request for approval for an information collection instrument for the CCF Impact Study that will expire before the information collection activities are completed. Not all of the original information collections instruments are needed, thus a reduction in overall burden hours.

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Annual Cost to Federal Government: $688,399

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 11/18/2008

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