Personal Responsibility Education Program (PREP) Multi-Component Evaluation

Forms and Documents

Document Name	Status
SSB Template_PREP_extension_clean_110917.doc Supporting Statement B	2017-11-13
SSA Template_PREP_extension_clean_110917.doc Supporting Statement A	2017-11-13
Attachment D - Youth Assent Form (previously in Attachment G - Mar 2013 approval).docx Supplementary Document	2017-11-09
Attachment C - Mathematica Confidentiality Pledge.docx Supplementary Document	2017-11-08
Attachment B - Persons Consulted on Follow-up Survey.docx Supplementary Document	2017-11-08
Attachment A - 60 Day FRN - PREP MCE.pdf Supplementary Document	2017-11-08
Attachment E - Advance Letters and Prompts (previously Attachment J - 2013 approval).doc Supplementary Document	2017-11-08

IC Document Collections

IC ID	Document Title	Status
212734	Implementation Survey Interview Topic Guide (Provider-level Respondents) Other-Topic Guide	Removed
212733	Implementation Survey Interview Topic Guide (State-level Respondents) Other-Topic Guide	Removed
207459	New Instrument #10: Program Attendance Data Collection Protocol Other-Protocol	Removed
207458	New Instrument #9: Focus Group Discussion Guide Other-Focus Group	Removed
207457	New Instrument #8: Staff Survey Other-Survey	Removed
207456	New Instrument #7: Master List of Topics for Staff Interviews Other-Interviews	Removed
207455	Second Follow-Up Survey Other-Survey	Modified
207454	New Instruments 5, 6, 12: First Follow-Up Surveys Other-Survey	Removed
207453	New Instrument #4: Implementation Site Data Collection Protocol Other-Protocol	Removed
207452	Performance Reporting System Data Entry Form Other-PRS Form	Removed
207451	Exit Survey (CPREP Participants) Other-Survey	Removed
207450	Entry Survey (CPREP Participants) Other-Survey	Removed
203228	Baseline Survey Other-Survey	Removed
203227	Sub-awardee data collection and reporting Other-Data Reporting	Removed
203226	Performance Reporting System Data Entry Form Other-PRS Entry Form	Removed
203225	Implementation site data collection Other-Data Collection	Removed
203224	Participant exit survey Other-Survey	Removed
203223	Participant entry survey Other-Survey	Removed
202667	Discussion Guide for Use with School Administrators Other-Discussion Guide	Removed
202666	Discussion Guide for Use with Program Staff Other-Discussion Guide	Removed
202665	Discussion Guide for Use with Program Directors Other-Discussion Guide	Removed
202664	Discussion Guide for use with Macro-Level Coordinators Other-Disscussion Guide	Removed
198489	Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators Other-#1 Interview guide for use with PREP state-level coordinat	Removed

ICR Details

OMB Control No: 0970-0398	ICR Reference No: 201711-0970-001
Status: Active	Previous ICR Reference No: 201607-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: 21236
Title: Personal Responsibility Education Program (PREP) Multi-Component Evaluation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/09/2018
	Date Received in OIRA: 11/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	12 Months From Approved	02/28/2018
Responses	325	0	165,442
Time Burden (Hours)	244	0	46,268
Cost Burden (Dollars)	0	0	1,124

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Abstract: The Family and Youth Services Bureau (FYSB) and the Office of Planning, Research, Evaluation (OPRE) in the Administration for Children and Families (ACF) are requesting a one-year extension without change of a currently approved information collection (OMB No. 0970–0398). The purpose of the extension is to complete the ongoing follow-up data collection for the Personal Responsibility Education Program (PREP) Multi-Component Evaluation, which was designed to document how PREP programs are designed and implemented in the field, collect performance measure data for PREP programs, and assess the effectiveness of selected PREP-funded programs. The PREP Multi-Component Evaluation contains three components: A Design and Implementation Study, a Performance Analysis Study, and an Impact and In-Depth Implementation Study. Data collection related to both the Design and Implementation Study and Performance Analysis Study is complete. This request for a one-year extension without change is limited to data collection activities for the Impact and In-Depth Implementation Study, which is being conducted in four sites. The proposed extension is necessary to complete ongoing follow-up data collection. The resulting data will be used in a rigorous program impact analysis to assess the effectiveness of each program in reducing teen sexual activity and associated risk behaviors.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2953 Name of Law: Patient Protection and Affordable Care Act (ACA)
  

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:
	82 FR 37453	08/10/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 56030	11/27/2017
Did the Agency receive public comments on this ICR? No

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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 Macro-Level Coordinators
Discussion Guide for Use with Program Directors
Discussion Guide for Use with Program Staff
Discussion Guide for Use with School Administrators
Participant entry survey
Participant exit survey
Implementation site data collection
Performance Reporting System Data Entry Form
Sub-awardee data collection and reporting
Baseline Survey
Entry Survey (CPREP Participants)
Exit Survey (CPREP Participants)
Performance Reporting System Data Entry Form
New Instrument #4: Implementation Site Data Collection Protocol
Implementation Survey Interview Topic Guide (Provider-level Respondents)
New Instrument #10: Program Attendance Data Collection Protocol
Implementation Survey Interview Topic Guide (State-level Respondents)
Second Follow-Up Survey
New Instruments 5, 6, 12: First Follow-Up Surveys
New Instrument #7: Master List of Topics for Staff Interviews
New Instrument #8: Staff Survey
New Instrument #9: Focus Group Discussion Guide

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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	325	165,442	0	-165,117	0	0
Annual Time Burden (Hours)	244	46,268	0	-46,024	0	0
Annual Cost Burden (Dollars)	0	1,124	0	-1,124	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Data collection for the majority of the ICs under 0970-0398 is complete. This request is for a one-year extension to complete follow up survey data collection. There are no changes to the follow-up surveys from what was previously approved.

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Annual Cost to Federal Government: $501,005

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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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: 11/27/2017

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