2.0 Data Element Survey- Title X Family Planning Annual Report (FPAR)

ICR 201408-0990-001

OMB: 0990-0426

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2014-11-19
Supporting Statement A
2014-11-19
IC Document Collections
ICR Details
0990-0426 201408-0990-001
Historical Active
HHS/HHSDM
2.0 Data Element Survey- Title X Family Planning Annual Report (FPAR)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/03/2015
Retrieve Notice of Action (NOA) 11/19/2014
  Inventory as of this Action Requested Previously Approved
02/28/2018 36 Months From Approved
818 0 0
409 0 0
0 0 0

A new data collection form (data element survey) to collect feedback from the Title X network regarding feasibility, alignment, and potential workflow issues related to encounter-level data collection and the proposed new FPAR 2.0 data elements (the data dictionary). This voluntary form will occur annually and allow the Title X network to offer feedback and guidance that will inform OPA's development of FPAR 2.0. OPA will solicit feedback from Title X agencies to better inform the 2.0 data dictionary, and proposes to make this data collection form available for up to 3 years so that OPA can accept feedback from the network regarding any version changes that might be made to the dictionary.

PL: Pub.L. 42 - 300 10006 Name of Law: Title X of the Public Health Service Act
  
None

Not associated with rulemaking

  79 FR 50649 08/25/2014
79 FR 68683 11/18/2014
No

1
IC Title Form No. Form Name
Grantees, Subrecipients, and Service Sites

  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 818 0 0 818 0 0
Annual Time Burden (Hours) 409 0 0 409 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.

$19,100
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Sherrette Funn-Coleman 2026905683

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/19/2014


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