Collection of Performance Measures - Personal Responsibility Education Program (PREP)

Forms and Documents

Document Name	Status
Appendix B_Consent letters and forms_clean_FOOTER_030117.docx Supplementary Document	2017-04-03
PMAPS- PM Supp Stat B_012717_clean.docx Supporting Statement B	2017-04-03
PMAPS- PM Supp Stat A_022817_clean.docx Supporting Statement A	2017-04-03

IC Document Collections

IC ID	Document Title	Status
223555	Performance Measure Data Report Form (Instrument 4) Other-Data Entry Form	New
223554	Performance Measures Data Report Form (Instrument 3) Other-Data Entry Form	New
223553	Core measures (Instrument 5) Other-Survey	New
223552	Exit Survey (Instrument 2) Other-Survey	New
223549	Entry Survey (Instrument 1) Other-Survey	New

ICR Details

OMB Control No: 0970-0497	ICR Reference No: 201609-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Collection of Performance Measures - Personal Responsibility Education Program (PREP)
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: 04/03/2017
	Date Received in OIRA: 09/20/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved
Responses	265,865	0	0
Time Burden (Hours)	61,911	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) Office of Planning, Research, and Evaluation (OPRE) seeks approval to collect a revised set of performance measures which were previously approved under OMB Contol #0970-0398, for the Personal Responsibility Education Program (PREP). We seek a separate Control # (rather than an update/reapproval of the previous ICR), since the previous collection was part of a comprehensive descriptive/evaluative effort of the first cohort of PREP programs (funded FYs 2010-2015). The new ICR is associated with a new, and anticipated ongoing, effort to collect data from all PREP grantees. ACF is seeking approval to collect performance measures across all PREP programming (i.e., State PREP, Competitive PREP, Tribal PREP, and Personal Responsibility Education – Innovative Strategies (PREIS)) and to collect a small set of additional “core measures” for local evaluations for PREIS grantees. This approval will support PREP-funded programs in collecting and reporting their performance data through the PREP data warehouse.

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Authorizing Statute(s): PL: Pub.L. 114 - 10 215 Name of Law: Medicare Access and CHIP Reauthorization Act of 2015
  

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:
	81 FR 21353	04/11/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 63763	09/16/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Performance Measures Data Report Form (Instrument 3)
Performance Measure Data Report Form (Instrument 4)
Core measures (Instrument 5)
Entry Survey (Instrument 1)
Exit Survey (Instrument 2)

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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	265,865	0	0	265,865	0	0
Annual Time Burden (Hours)	61,911	0	0	61,911	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 is a new data collection for new cohorts of PREP grantees.

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Annual Cost to Federal Government: $285,419

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: 09/20/2016

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