Evaluation of the Projects for Assistance in Transition from Homelessness (PATH) Program

Forms and Documents

Document Name	Status
Form PATH Telepone Inte PATH Telepone Interviews Form and Instruction	New
Form PATH Site Visit Di PATH Site Visit Discussion Form and Instruction	New
Form PATH Provider Web PATH Provider Web Survey Form and Instruction	New
Form PATH Intermediary PATH Intermediary Web Survey Form and Instruction	New
Form State PATH Contact SPC Web Survey Form and Instruction	New
PATH_Evaluation_OMB_SS_PartA 8.28.17.docx Supporting Statement A	2017-08-28
PATH_Evaluation_Attachment7_2017_May1.docx Supplementary Document	2017-08-15
PATH Evaluation_Attachment6_2017_May1.docx Supplementary Document	2017-08-15
PATH_Evaluation_OMB_SS_PartB 5.1.17.docx Supporting Statement B	2017-08-15

IC Document Collections

IC ID	Document Title	Status
227934	PATH Telepone Interviews Form and Instruction	New
227933	PATH Site Visit Discussion Form and Instruction	New
227929	PATH Provider Web Survey Form and Instruction	New
227928	PATH Intermediary Web Survey Form and Instruction	New
227927	SPC Web Survey Form and Instruction	New

ICR Details

OMB Control No: 0930-0381	ICR Reference No: 201708-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Evaluation of the Projects for Assistance in Transition from Homelessness (PATH) Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/25/2017
	Date Received in OIRA: 08/28/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved
Responses	1,001	0	0
Time Burden (Hours)	1,228	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The primary users of the data to be collected and reported for the PATH evaluation are staff in SAMHSA/CMHS’ Homeless Programs Branch. The information to be collected will be used for two primary purposes: 1) To meet the mandates of Section 528 of the PHS Act which requires the SAMHSA Administrator to evaluate the expenditures of PATH grantees at least once every three years to ensure they are consistent with legislative requirements and to recommend changes to the program design or operations; and 2) To collect information that helps explain and better understand variations among providers on key program measures that are important for program management and policy development.

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Authorizing Statute(s): US Code: 42 USC 528 Name of Law: Requirement of Reports by States
  

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:
	82 FR 28871	06/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 40782	08/28/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
SPC Web Survey	State PATH Contact Web Survey	State PATH Contact Web Survey
PATH Provider Web Survey	PATH Provider Web Survey	PATH Provider Web Survey
PATH Telepone Interviews	PATH Telepone Interviews	PATH Telepone Interviews
PATH Intermediary Web Survey	PATH Intermediary Web Survey	PATH Intermediary Web Survey
PATH Site Visit Discussion	PATH Site Visit Discussion	PATH Site Visit Discussion

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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	1,001	0	0	1,001	0	0
Annual Time Burden (Hours)	1,228	0	0	1,228	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $232,637

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

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? 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: 08/28/2017

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