Pre-testing of Evaluation Surveys

Forms and Documents

Document Name	Status
40158 C33 CPM OMB interim memo March 2016.rev.docx Justification for No Material/Nonsubstantive Change	2016-03-11
CPM OMB interim memo_20160115.docx Justification for No Material/Nonsubstantive Change	2016-01-21
Attachment B - Pretesting Usage Report_12-15.docx Supplementary Document	2015-01-08
Attachment A - Example Instruments 0970-0355.docx Supplementary Document	2015-01-06
Generic Clearance for Pretesting SSB.doc Supporting Statement B	2015-01-06
Generic Clearance for Pretesting SSA_Final_3.20.15.doc Supporting Statement A	2015-03-23

IC Document Collections

IC ID	Document Title	Status
218829	Pre-testing of Evaluation Surveys: An Examination of the Intersection of Domestic Human Trafficking with Child Welfare and Runaway and Homeless Youth Programs Other-Screener	Unchanged
218410	Assessing the Implementation and Cost of High Quality Early Care and Education: Comparative Multi-Case Study, Phase 1 Other-Recruitment Script	Unchanged
218172	Assessing Early Childhood Teachers' Use of Child Progress Monitoring to Individualize Teaching Practices Other-Recruitment Script	Modified
214527	Permanency Innovations Initiative - California Partnership for Permanency (CAPP) Other-Consent	Unchanged

ICR Details

OMB Control No: 0970-0355	ICR Reference No: 201603-0970-008
Status: Historical Active	Previous ICR Reference No: 201601-0970-008
Agency/Subagency: HHS/ACF	Agency Tracking No: 21397
Title: Pre-testing of Evaluation Surveys
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/23/2016
	Date Received in OIRA: 03/11/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	03/31/2018	03/31/2018
Responses	5,100	0	5,100
Time Burden (Hours)	3,825	0	3,825
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research and Evaluation (OPRE), in the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks renewal of this generic survey development clearance to allow us to use samples of more than nine participants in applying methods useful for identifying questionnaire and procedural problems, suggesting solutions, and measuring the relative effectiveness of alternative solutions. OPRE studies ACF programs, and the populations they serve, through rigorous research and evaluation projects. These include evaluations of existing programs, evaluations of innovative approaches to helping low-income children and families, research syntheses and descriptive and exploratory studies. This generic clearance allows us to identify if and when a survey may be simplified for respondents, respondent burden may be reduced, among other possible improvements. The research completed under this generic is intended to be informative in nature; the studies may be iterative, as variation in questions or procedures are proposed, evaluated, and retested. The core methodology and target populations will be consistent and burden caps and incentive structure are proposed in this request. The pretesting of surveys will inform future ACF/OPRE information collections, resulting in higher quality studies.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security 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:
	79 FR 54985	09/15/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 1421	01/09/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Permanency Innovations Initiative - California Partnership for Permanency (CAPP)
Assessing Early Childhood Teachers' Use of Child Progress Monitoring to Individualize Teaching Practices
Assessing the Implementation and Cost of High Quality Early Care and Education: Comparative Multi-Case Study, Phase 1
Pre-testing of Evaluation Surveys: An Examination of the Intersection of Domestic Human Trafficking with Child Welfare and Runaway and Homeless Youth Programs

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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	5,100	5,100	0	0	0	0
Annual Time Burden (Hours)	3,825	3,825	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: This request is to renew the use of the ACF/OPRE generic clearance for another three years. Based on actual and desired use over the past three year clearance period, ACF requests burden level to increase, as compared to the previously approved burden under 0970-0355.

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Annual Cost to Federal Government: $175,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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: 03/11/2016

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