Evaluation of Pregnancy Prevention Approaches - Baseline

Forms and Documents

Document Name	Status
PPA - Emergency Baseline Package - OMB Contol No. 0970-0360 - 7-27-11.docx Supplementary Document	2011-07-27
Supporting Statement Part B.doc Supporting Statement B	2011-07-06
Emergency Justification.pdf Supplementary Document	2011-07-06
Attachment A.pdf Supplementary Document	2011-07-06
Supporting Statement Part A.doc Supporting Statement A	2011-07-06

IC Document Collections

IC ID	Document Title	Status
198423	Instrument 6 Other-Instrument 6	New
198422	Instrument 5 Other-Instrument 5	New
198421	Instrument 4 Other-Instrument 4	New
198420	Instrument 3 Other-Instrument 3	New
192281	Instrument 2 Other-Instrument 2	Modified
186736	Instrument 1 Other-Instrument 1	Modified

ICR Details

OMB Control No: 0970-0360	ICR Reference No: 201107-0970-003
Status: Historical Active	Previous ICR Reference No: 201010-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of Pregnancy Prevention Approaches - Baseline
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/15/2011
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/17/2011
	Date Received in OIRA: 07/07/2011
Terms of Clearance: ACF is approved this collection with the following terms of clearance: Prior to conducting the baseline survey for each selected program, ACF must submit to OMB a report on the program interventions being evaluated, the sites selected for participation in the study, the proposed evaluation design (random assignment of individual or school/ organization), and the proposed sample size as well as the rationale for the sample size (power calculations).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	6 Months From Approved	07/31/2013
Responses	2,468	0	3,608
Time Burden (Hours)	1,601	0	1,864
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children & Families (ACF) of the U.S. Department of Health and Human Services (HHS) is conducting the Evaluation of Adolescent Pregnancy Prevention Approaches (PPA), an eight-year demonstration designed to study the effectiveness of promising policy-relevant strategies to reduce teen pregnancy. We now seek OMB approval for baseline survey data collection, as well as collection of youth participant records and achievement data from schools and other organizations.

Emergency Justfication: See attached memo, which provides background information about the Evaluation of Adolescent Pregnancy Prevention Approaches (PPA) and outlines our justification for requesting emergency review for site-specific variants for the OMB-approved PPA baseline instrument. We request emergency review and approval of the instruments within one month after they have been submitted to OMB, which should be in June 2011. We would also initiate a full clearance request process at that time, to ensure that the process can be completed by the time emergency approval expires, six months after the request for approval is submitted.

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Authorizing Statute(s): PL: Pub.L. 110 - 161 2 Name of Law: Consolidated Appropriations Act of 2008
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Instrument 1
Instrument 2
Instrument 3
Instrument 4
Instrument 5
Instrument 6

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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	2,468	3,608	0	-1,140	0	0
Annual Time Burden (Hours)	1,601	1,864	0	-263	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current request is to change sites for the baseline survey data collection effort for the Evaluation of Adolescent Pregnancy Prevention Approaches.

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Annual Cost to Federal Government: $558,755

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]? 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? 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: 07/07/2011

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