Personal Responsibility Education Program (PREP) Multi-Component Evaluation

Forms and Documents

Document Name	Status
Attachment B - Comment received.docx Supplementary Document	2011-11-03
Attachment A - 60 Day FRN.pdf Supplementary Document	2011-11-03
Part B.doc Supporting Statement B	2011-11-03
Attachment A - Consent Form.doc Supplementary Document	2011-07-04
Part A.doc Supporting Statement A	2011-11-03

IC Document Collections

IC ID	Document Title	Status
198493	Discussion Guide for Use with School Administrators Other-Discussion Guide for School Administrators	New
198491	Discussion Guide for Use with Program Staff Other-Discussion Guide for Use with Program Staff	New
198490	Discussion Guide for Use with Program Directors Other-Discussion Guide for Use with Program Directors	New
198489	Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators Other-Discussion Guide for Macro-Level Coordinators	New

ICR Details

OMB Control No: 0970-0398	ICR Reference No: 201107-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Personal Responsibility Education Program (PREP) Multi-Component Evaluation
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: Approved with change	Conclusion Date: 11/06/2011
	Date Received in OIRA: 07/13/2011
Terms of Clearance: Approved consistent with the following terms: any short surveys that would be developed and fielded as a result of the discussion guides that have not be formally submitted within this clearance package will be submitted prior to use in the field. Additionally, should any of these surveys be administered by web, screen shots should be sent for clearance before use. OMB will continue to work with ACF on the submission of other PREP-related ICRs.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2014	36 Months From Approved
Responses	160	0	0
Time Burden (Hours)	240	0	0
Cost Burden (Dollars)	6,902	0	0

---

Abstract: The Patient Protection and Affordable Care Act, signed into law in March of 2010, established the Personal Responsibility Education Program (PREP) which funds programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects. The purpose of the information collection instruments submitted through this request is to help the federal government and contract staff select program sites for an Impact and In-Depth Implementation Study of PREP.

---

Authorizing Statute(s): PL: Pub.L. 111 - 148 3590 Name of Law: Patient Protection and Affordable Care Act (ACA)
  

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:
	76 FR 14403	03/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 40371	07/08/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators
Discussion Guide for Use with Program Directors
Discussion Guide for Use with Program Staff
Discussion Guide for Use with School Administrators

---

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	160	0	0	160	0	0
Annual Time Burden (Hours)	240	0	0	240	0	0
Annual Cost Burden (Dollars)	6,902	0	0	6,902	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 request.

---

Annual Cost to Federal Government: $216,295

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]? Yes

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

---

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: 07/13/2011

---