Generic Grant Reviewer Recruitment Form

Forms and Documents

Document Name	Status
Form 1 ANA Panel Reviewer Profile Questionaire Form and Instruction	New
Form 1 OHS/OCC Grant Reviewer Pool Form and Instruction	New
Form 1 FYSB Discretionary Grant Reviewer Recruitment Form Form and Instruction	New
Form 1 Grant Reviewers / ORR Form and Instruction	New
Form 1 Collect eligibility infomation from applicants Form and Instruction	New
Form 1 OCS Grant Reviewer Recruitment Form Form and Instruction	New
OMB memo 3-8-16.docx Supplementary Document	2016-03-08
GRR form supporting statement.docx Supporting Statement A	2016-03-04

IC Document Collections

IC ID	Document Title	Status
234163	Office of Child Care Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review Other-Survey	New
228914	Office of Head Start Reviewer Recruitment Instruction	New
225797	ANA Panel Reviewer Profile Questionaire Form and Instruction	New
222511	OHS/OCC Grant Reviewer Pool Form and Instruction	New
221760	OCSE Reviewer Recruiter Letter Instruction	New
221357	FYSB Discretionary Grant Reviewer Recruitment Form Form and Instruction	New
221278	Grant Reviewers / ORR Form and Instruction	New
220734	Collect eligibility infomation from applicants Form and Instruction	New
220599	OCS Grant Reviewer Recruitment Form Form and Instruction	New

ICR Details

OMB Control No: 0970-0477	ICR Reference No: 201603-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Generic Grant Reviewer Recruitment Form
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: 03/11/2016
	Date Received in OIRA: 03/07/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved
Responses	1,500	0	0
Time Burden (Hours)	1,500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: These are forms the program offices will use to recruit outside reviewers for selecting proposals to award grants.

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Authorizing Statute(s): None

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:
	79 FR 73893	12/12/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 17445	04/01/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Collect eligibility infomation from applicants	1, 1	Fillable Reviewer Information Form for General Reviewer ,   Fillable Reviewer Information Form for Specific Reviewer
Office of Head Start Reviewer Recruitment	1	OpenHire Application Mockup
FYSB Discretionary Grant Reviewer Recruitment Form	1	FYSB Reviewer Electonic Gegistration Script
OHS/OCC Grant Reviewer Pool	1	EHS Expansion and EHS-CC Partnerships Survey
Grant Reviewers / ORR	1	ORR PRA Information GRR Form
ANA Panel Reviewer Profile Questionaire	1	Panel Reviewer Questionnaire
Office of Child Care Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review
OCS Grant Reviewer Recruitment Form	1	CED Reviewer Registration Form
OCSE Reviewer Recruiter Letter

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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	1,500	0	0	1,500	0	0
Annual Time Burden (Hours)	1,500	0	0	1,500	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: No

Burden Reduction Due to:

Short Statement: This ICR is new.

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Annual Cost to Federal Government: $37,500

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 03/07/2016

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