Generic Grant Reviewer Recruitment Form

Forms and Documents

Document Name	Status
Form 1 Office of Child Care Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review (Previously approved, ongoing collection) Form and Instruction	New
Form 1 Office of Head Start Reviewer Recruitment (Previously approved, ongoing collection) Form	New
Form 1 ANA Panel Reviewer Profile Questionnaire (Previously approved, ongoing collection) Form and Instruction	New
Form 1 OCSE Reviewer Recruitment Letter and Discretionary Grant Reviewer Recruitment Questionnaire (Previously approved, ongoing collection) Form and Instruction	New
Form 1 FYSB Discretionary Grant Reviewer Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New
Form 1 ORR Grant Reviewers Electronic Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New
Form 1 Eligibility Information From Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer (Previously approved, ongoing collection) Form and Instruction	New
Form 1 OCS Grant Reviewer Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New
GRR Submission Form - 0970-0477 .doc Supplementary Document	2019-02-22
NOA With All Previously Approved Collections Under 0970-0477.pdf Supplementary Document	2019-02-21
OMB memo 3-8-16.docx Supplementary Document	2016-03-08
GRR form supporting statement - Update for 2019 extension_Final 4.4.19.docx Supporting Statement A	2019-04-04

IC Document Collections

IC ID	Document Title	Status
240693	Grant Reviewer Recruitment for the Family and Youth Services Bureau (FYSB) Discretionary Grant Programs Other-Questionnaire	New
235061	Office of Child Care Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review (Previously approved, ongoing collection) Form and Instruction	New
235060	Office of Head Start Reviewer Recruitment (Previously approved, ongoing collection) Form	New
235059	ANA Panel Reviewer Profile Questionnaire (Previously approved, ongoing collection) Form and Instruction	New
235048	OCSE Reviewer Recruitment Letter and Discretionary Grant Reviewer Recruitment Questionnaire (Previously approved, ongoing collection) Form and Instruction	New
235045	FYSB Discretionary Grant Reviewer Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New
235043	ORR Grant Reviewers Electronic Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New
235042	Eligibility Information From Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer (Previously approved, ongoing collection) Form and Instruction	New
235041	OCS Grant Reviewer Recruitment Form (Previously approved, ongoing collection) Form and Instruction	New

ICR Details

OMB Control No: 0970-0477	ICR Reference No: 201902-0970-005
Status: Historical Active	Previous ICR Reference No: 201603-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Generic Grant Reviewer Recruitment Form
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: 04/11/2019
	Date Received in OIRA: 02/26/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2019
Responses	4,775	0	1,500
Time Burden (Hours)	2,561	0	1,500
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. This is submitted as a revision because the estimated number of respondents and time per response has been edited to reflect ACF's use of and experiences with this generic since initial approval. The overall purpose and use of information under this generic has not changed.

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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:
	83 FR 65354	12/20/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 5692	02/22/2019
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
Office of Child Care Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review (Previously approved, ongoing collection)	1	OCC Reviewer Availability Request for the American Indian or Native Hawaiian Child Care Grants Review
ORR Grant Reviewers Electronic Recruitment Form (Previously approved, ongoing collection)	1	ORR Grant Reviewer Recruitment
ANA Panel Reviewer Profile Questionnaire (Previously approved, ongoing collection)	1	ANA Panel Reviewer Profile Questionnaire
Grant Reviewer Recruitment for the Family and Youth Services Bureau (FYSB) Discretionary Grant Programs
OCS Grant Reviewer Recruitment Form (Previously approved, ongoing collection)	1	CED Reviewer Registration Form
Eligibility Information From Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer (Previously approved, ongoing collection)	1, 1	Information Form for General Reviewer List ,   Information Form for Specific Reviews
Office of Head Start Reviewer Recruitment (Previously approved, ongoing collection)	1	OHS Reviewer Recruitment Form
FYSB Discretionary Grant Reviewer Recruitment Form (Previously approved, ongoing collection)	1	FYSB Reviewer Electronic Registration
OCSE Reviewer Recruitment Letter and Discretionary Grant Reviewer Recruitment Questionnaire (Previously approved, ongoing collection)	1	Reviewer Recruitment Letter and Discretionary Grant Reviewer Recruitment Questionnaire

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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	4,775	1,500	0	3,275	0	0
Annual Time Burden (Hours)	2,561	1,500	0	1,061	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 request to extend data collection under this generic clearance for grant reviewer recruitment. The overall burden requested over the next three years remains the same (1500 hours), but the number of respondents and estimated time per response was adjusted based on ACF's experiences during the first three years of use of this generic. Additionally, previously approved collections that are ongoing are included in this request and account for 1,061 hours (1,061 + 1,500 = 2,561 hours).

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Annual Cost to Federal Government: $31,667

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

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]? 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: 02/26/2019

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