Social Innovation Fund Pay for Success Process Evaluation

ICR 201603-3045-003

OMB: 3045-0177

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supporting Statement B
2016-03-11
Supporting Statement A
2016-03-11
IC Document Collections
ICR Details
3045-0177 201603-3045-003
Historical Active
CNCS
Social Innovation Fund Pay for Success Process Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/13/2016
Retrieve Notice of Action (NOA) 03/11/2016
  Inventory as of this Action Requested Previously Approved
05/31/2019 36 Months From Approved
260 0 0
87 0 0
0 0 0

CNCS has contracted with Abt Associates to support CNCS’s Office of Research and Evaluation to implement a process evaluation of the Social Innovation Fund (SIF) Pay for Success (PFS) Program. The major data collection activities to be undertaken subject to this notice will include two surveys: (1) Grantee Survey, and (2) Subrecipient/Service Recipient Survey. Survey information will be collected from current and future SIF PFS grantees and their subrecipients/service recipients through an online survey program. The purpose of the Grantee Survey is to better understand grantees’ program structure, practices in providing technical assistance and deal structuring activities.

US Code: 42 USC 12501 et seq Name of Law: National Community Service Act of 1990, as amended
  
None

Not associated with rulemaking

  80 FR 76848 12/11/2015
81 FR 12880 03/11/2016
No

1
IC Title Form No. Form Name
Social Innovation Fund Pay for Success Process Evaluation Survey 1 SIF Pay for Success Process Evaluation Survey Instruments

  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 260 0 0 260 0 0
Annual Time Burden (Hours) 87 0 0 87 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The net burden has increased because this is a new information collection.

$0
No
No
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 aborgstrom@cns.gov

  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.
03/11/2016


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