Formative Data Collections for ACF Program Support

Forms and Documents

Document Name	Status
Form 1 Refugee Support Services (RSS) Set-Aside Sub-Grantees Form	New
Formative Data Collections for Program Support SSB_Final_Clean.docx Supporting Statement B	2019-06-13
Formative Data Collections for Program Support SSA_Final_Clean.docx Supporting Statement A	2019-06-13

IC Document Collections

IC ID	Document Title	Status
240144	Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Other-PREIS Impact Analysis Plan Template	New
239971	Self-Regulation Training Approaches and Resources to Improve Staff Capacity for Implementing Healthy Marriage Services for Youth (SARHM) Other-Focus Group	New
239943	Tribal Continuous Quality Improvement Collaboratives Instruction	New
239734	Refugee Support Services (RSS) Set-Aside Sub-Grantees Form	New
239601	Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates Other-Template	New
239139	Feedback on Materials for Father Involvement National Media Campaign Other-Screener: Experts	New
237752	Fathers and Continuous Learning in Child Welfare Project Other-Speed Sharing for Learning Session 2	New
237616	Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care Other-Discussion Protocol	New
237567	State Department of Education Contacts Form Other-null	New

ICR Details

OMB Control No: 0970-0531	ICR Reference No: 201906-0970-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Formative Data Collections for ACF Program Support
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 without change	Conclusion Date: 07/24/2019
	Date Received in OIRA: 06/18/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	4,750	0	0
Time Burden (Hours)	8,250	0	0
Cost Burden (Dollars)	166,897	0	0

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Abstract: The Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), requests approval of this overarching generic clearance to allow ACF to conduct a variety of formative data collections. ACF programs promote the economic and social well-being of families, children, individuals and communities. Many ACF program offices need to learn more about funded program services so that an understanding of program or grantee processes and potential for improvements can inform ACF decision-making and program support. Under this generic clearance, ACF would engage in a variety of formative data collections with respondents such as: current or prospective service providers, training or technical assistance (T/TA) providers, grantees, contractors, current and potential participants in ACF programs or similar comparison groups, experts in fields pertaining to ACF programs, key stakeholder groups involved in ACF projects and programs, individuals engaged in program re-design or demonstration development for evaluation, state or local government officials, or others involved in or prospectively involved in ACF programs. The goals of the generic information collections (GenICs) under this approval are to: obtain information about program and grantee processes or needs, and to inform the following example activities, among other activities: • Delivery of targeted assistance and workflows related to program implementation or the development or refinement of program and grantee processes, and the development and refinement of recordkeeping and communication systems. • Planning for provision of programmatic or evaluation-related training or technical assistance (T/TA). • Obtaining grantee or other stakeholder input on the development of program performance measures. • Use of rapid-cycle testing activities to strengthen programs in preparation for summative evaluation. • Development of learning agendas and research priorities. ACF envisions using a variety of techniques such as semi-structured discussions, focus groups, surveys, templates, open-ended requests, and telephone or in-person interviews, in order to reach these goals.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act, SEC. 1110
  

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 47212	10/11/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 28307	06/18/2019
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
Refugee Support Services (RSS) Set-Aside Sub-Grantees	1	RSS Form
Fathers and Continuous Learning in Child Welfare Project
Tribal Continuous Quality Improvement Collaboratives
Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care
State Department of Education Contacts Form
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)
Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates
Feedback on Materials for Father Involvement National Media Campaign
Self-Regulation Training Approaches and Resources to Improve Staff Capacity for Implementing Healthy Marriage Services for Youth (SARHM)

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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	4,750	0	0	4,750	0	0
Annual Time Burden (Hours)	8,250	0	0	8,250	0	0
Annual Cost Burden (Dollars)	166,897	0	0	166,897	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 information collection request for an overarching generic clearance.

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Annual Cost to Federal Government: $100,000

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]? 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: 06/18/2019

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