Cohort 3 FY2018 Teen Pregnancy Prevention (TPP) Program Performance Measures

Forms and Documents

Document Name	Status
0990_XXXX_New_Cohort 3_TPP_Performance Measures_SSA_draft_9102018clean_rev122018_rev72019_clean.docx Supporting Statement A	2019-07-25
2018-21402 60 day FRN cohort 3.pdf Supplementary Document	2018-12-13
0990-XXX_NEW Cohort3_TPP_Performance Measures_SSSB_Draft Clean_rev72019CLEAN.docx Supporting Statement B	2019-07-25
TPP Authorizing Legislation PL115_141.pdf Supplementary Document	2018-12-06
TPP Fidelity Process Form 92018 Draft Appendix.docx Supplementary Document	2018-12-06
0990_0438_Appendix_E_System Screenshots.docx Supplementary Document	2018-12-06

IC Document Collections

IC ID	Document Title	Status
233007	TPP Grantees, Performance Measures Form Other-survey	New

ICR Details

OMB Control No: 0990-0468	ICR Reference No: 201809-0990-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Cohort 3 FY2018 Teen Pregnancy Prevention (TPP) Program Performance Measures
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 with change	Conclusion Date: 07/25/2019
	Date Received in OIRA: 02/27/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	38	0	0
Time Burden (Hours)	266	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of Adolescent Health (OAH) requests a new clearance for the collection of performance measures from the cohort 3 Teen Pregnancy Prevention (TPP) grant recipients, anticipated to be awarded in September 2018. OAH released an funding announcement to support Phase 1 of a third cohort of TPP grantees in the spring of 2018, subject to the availability of funding, with awards expected to be made in September 2018. Phase 1 cohort 3 TPP grants shall be issued in for an anticipated 2 year period of performance. A subset of successful Phase 1 grantees will be selected for Phase 2 grants. A 3 year clearance is requested for this request. TPP phase 1 grant recipients will be expected to report performance data twice each year.

---

Authorizing Statute(s): PL: Pub.L. 115 - 141 t Name of Law: Continuing Appropriations Act, 2018
   PL: Pub.L. 103 - 62 2 Name of Law: Government Performance and Results Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 49560	10/02/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 65171	12/19/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
TPP Grantees, Performance Measures Form

---

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	38	0	0	38	0	0
Annual Time Burden (Hours)	266	0	0	266	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 ICR Request.

---

Annual Cost to Federal Government: $200,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  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:

(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: 02/27/2019

---