Community-Based Child Abuse Prevention Program

Forms and Documents

Document Name	Status
SSA CBCAP 0970-0155 January 2021.docx Supporting Statement A	2021-01-22

IC Document Collections

IC ID	Document Title	Status
9922	Community-Based Child Abuse Prevent Program-Annual Report Instruction	Modified
185462	Commuunity-Based Child Abuse Prevention Program-Application Instruction	Modified

ICR Details

OMB Control No: 0970-0155	ICR Reference No: 202101-0970-005
Status: Received in OIRA	Previous ICR Reference No: 201801-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: Community-Based Child Abuse Prevention Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/16/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2021
Responses	104	104
Time Burden (Hours)	3,328	3,328
Cost Burden (Dollars)	0	0

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Abstract: The information being collected is required by statute to be submitted pursuant to receiving an award. The information submitted will be used by ACYF to ensure compliance with the statute, complete the calculation of the grant award entitlement, and provide training and technical assistance to the grantee. The information is provided by a representative of the lead agency, designated by the State's Chief Executive Officer to receive the funds and implement the program for the State. Annual performance reports (Section 207 of Title II) and financial reports, using SF269 (USC Code 92 are required. These reports provide updates and changes in goals and services and indicate how the funds are being used.

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Authorizing Statute(s): PL: Pub.L. 111 - 320 201, 202, 205, and 20 Name of Law: Child Abuse Prevention and Treatment Act
   US Code: 42 USC 5116 et seq Name of Law: Child Abuse Prevention and Treatment Act
  

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:
	85 FR 63118	10/06/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14431	03/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Community-Based Child Abuse Prevent Program-Annual Report
Commuunity-Based Child Abuse Prevention Program-Application

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ICR Summary of Burden

	Total Request	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	104	104	0	0	0	0
Annual Time Burden (Hours)	3,328	3,328	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $20,000

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.     No

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? No

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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: 03/16/2021

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