Federal Evaluation of Making Proud Choices! (MPC!

ICR 201704-0990-005

OMB: 0990-0452

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2017-08-08
Supplementary Document
2017-08-08
Supplementary Document
2017-05-02
Supplementary Document
2017-05-02
Supplementary Document
2017-05-02
Supplementary Document
2017-05-02
Supplementary Document
2017-05-02
Supplementary Document
2017-01-17
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2017-01-17
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supporting Statement B
2017-08-08
Supporting Statement A
2017-08-08
ICR Details
0990-0452 201704-0990-005
Historical Active 201606-0990-004
HHS/HHSDM
Federal Evaluation of Making Proud Choices! (MPC!
Revision of a currently approved collection   No
Regular
Approved with change 08/15/2017
Retrieve Notice of Action (NOA) 05/02/2017
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 01/31/2020
3,086 0 1,493
1,393 0 596
0 0 0

MPC; it includes the baseline survey instrument related to the impact study and instruments for the implementation and fidelity assessment. The evaluation will be conducted in 39 schools nationwide. The data collected from these instruments will be used to describe the characteristics of the study sample of youth, being used in the models for estimating program impacts, and provide a detailed understanding of program implementation.

None
None

Not associated with rulemaking

  82 FR 10364 02/10/2017
82 FR 18920 04/24/2017
No

  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 3,086 1,493 0 1,593 0 0
Annual Time Burden (Hours) 1,393 596 0 797 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
OAH now seeks approval on a program change for the data collection associated with the administration of the 9 and 15 month follow-up survey instrument. This request will increase the total annual burden requested for the MPC! Evaluation from 595.8 hours to 1,392.3 hours.

$1,038,783
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Sherette Funn-Coleman

  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.
05/02/2017


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