Personal Responsibility Education Program (PREP) Multi-Component Evaluation

Forms and Documents

Document Name	Status
PREP IRB No Consent Approval Revised.pdf Supplementary Document	2012-03-06
Attachment D - PREP Evaluation Description - 2-1-12.pdf Supplementary Document	2012-03-06
Attachment C - Design Survey email template - 2-1-12.docx Supplementary Document	2012-03-06
Part B - Clean version - 3-5-12[1].docx Supporting Statement B	2012-03-06
Attachment A - Consent form.doc Supplementary Document	2011-11-10
Part A - Clean version - 2-1-12.docx Supporting Statement A	2012-03-06

IC Document Collections

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

ICR Details

OMB Control No: 0970-0398	ICR Reference No: 201111-0970-006
Status: Historical Active	Previous ICR Reference No: 201107-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Personal Responsibility Education Program (PREP) Multi-Component Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/07/2012
	Date Received in OIRA: 11/22/2011
Terms of Clearance: This information collection request is approved as revised by ACF. OMB notes that consistent with it's IRB approval, ACF will waive all forms of consent. Therefore, the consent form originally submitted as part of the package will not be used.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	24 Months From Approved	11/30/2014
Responses	46	0	160
Time Burden (Hours)	46	0	240
Cost Burden (Dollars)	1,723	0	6,902

---

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 goal of the PREP Multi-Component Evaluation will be to document how programs funded through the State PREP program are designed and implemented in the field and to assess selected PREP-funded programs' effectiveness. The study will include three primary, interconnected components: (1) a broad descriptive analysis of how States designed and implemented PREP programs, (2) the collection and analysis of performance management data, and (3) impact and in-depth implementation evaluations of four to five specific PREP-funded sites.

---

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 17655	03/30/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 62072	10/06/2011
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Design Survey 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	46	160	0	-114	0	0
Annual Time Burden (Hours)	46	240	0	-194	0	0
Annual Cost Burden (Dollars)	1,723	6,902	0	-5,179	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: This is the first data collection for the "Design and Implementation Study" portion of the PREP Multi-Component Evaluation. Compared to the previous ICR submitted (for field data collection as part of the "Impact and Implementation Study"), this ICR entails a lower level of burden.

---

Annual Cost to Federal Government: $125,000

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: 11/22/2011

---