Family Violence Prevention and Services: Grants to States; Native American Tribes and Alaskan Native Villages; and State Domestic Violence Coalitions

Forms and Documents

Document Name	Status
Form 1 FVPSA State Domestic Violence Coalitions Grants Performance Progress Report Form	Modified
Form 1 FVPSA Tribes/Tribal Organizations Grants Performance Progress Report Form	Modified
Form 1 FVPSA State and Territory Grants Performance Progress Report Form	Modified
FVPSA Supporting Statements -2020 OMB Clearance Clean.docx Supporting Statement A	2021-03-04

IC Document Collections

IC ID	Document Title	Status
212203	FVPSA State Domestic Violence Coalitions Grants Performance Progress Report Form	Modified
186809	FVPSA Tribes/Tribal Organizations Grants Performance Progress Report Form	Modified
186808	FVPSA State and Territory Grants Performance Progress Report Form	Modified
186807	FVPSA State Domestic Violence Coalitions Grants Funding Opportunity Announcement Instruction	Modified
186806	FVPSA Tribes/Tribal Organizations Grants Funding Opportunity Announcement Instruction	Modified
10138	FVPSA State Grants Funding Opportunity Announcement Instruction	Modified

ICR Details

OMB Control No: 0970-0280	ICR Reference No: 202103-0970-003
Status: Received in OIRA	Previous ICR Reference No: 201711-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: ACYF
Title: Family Violence Prevention and Services: Grants to States; Native American Tribes and Alaskan Native Villages; and State Domestic Violence Coalitions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/08/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2021
Responses	344	516
Time Burden (Hours)	3,440	4,410
Cost Burden (Dollars)	0	0

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Abstract: ACF uses the information collected to: a) make grant awards to eligible applicants who meet the statutory requirements and comply with other applicable regulations; b) collect uniform data on FVPSA funded programs and services from State, Territory and Tribal grantees; and c) assess the progress and impact of programs and services funded through FVPSA. The information requested allows FVPSA program staff to monitor grantee compliance with program requirements, to assist grantees, and to collect information on program services and outcomes that are used to prepare statutorily required biennial reports to Congress on the effectiveness of FVPSA Program funding in preventing and responding to family violence. This information collection request is submitted to OMB for approval of revised program announcements (Appendices A, B & C) and for continued use of the previously approved PPRs for the Family Violence Prevention and Services Program authorized under FVPSA (42 U.S.C 10401 et seq.). There are no changes proposed to the previously approved PPRs.

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Authorizing Statute(s): US Code: 42 USC 10401 Name of Law: Family Violence Prevention
  

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:
	85 FR 41049	07/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 13396	03/08/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
FVPSA State Domestic Violence Coalitions Grants Performance Progress Report	1	FVPSA State Domestic Violence Coalitions Grants Performance Progress Report
FVPSA State Grants Funding Opportunity Announcement
FVPSA Tribes/Tribal Organizations Grants Funding Opportunity Announcement
FVPSA State Domestic Violence Coalitions Grants Funding Opportunity Announcement
FVPSA State and Territory Grants Performance Progress Report	1	FVPSA State and Territory Grants Performance Progress Report
FVPSA Tribes/Tribal Organizations Grants Performance Progress Report	1	NewFVPSAStateTribalPPR

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ICR Summary of Burden

	Total Request	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	344	516	0	-172	0	0
Annual Time Burden (Hours)	3,440	4,410	0	-970	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There no changes in the associated annual number of responses or annual time burden since the last OMB approval of the forms, but the previous submission inaccurately showed the number of responses to the FOA as 1 per year. This request has updated to correctly show one response by respondents to the FOA documents.

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Annual Cost to Federal Government: $38,000

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? No

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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: 03/08/2021

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