Generic PPR Submission Form - Refugee IDA Program Indicators

Request for approval under the clearance of the “Generic Performance Progress Report” OMB control Number: 0970-0490

TITLE OF INFORMATION COLLECTION: Office of Refugee Resettlement Refugee Individual Development Accounts Program Indicators

PURPOSE: Data will be collected from all grantees of Office of Refugee Resettlement’s (ORR) Refugee Individual Development Accounts (IDA) discretionary grant program to accompany grantees’ quarterly standard ACF Performance Progress Report (OMB Approval Number 0970-0406). Data indicators track outcomes that provide information about programs’ community outreach, services, and impact to refugee communities. Performance data will continue to be used to assess grantees’ progress towards meeting program objectives, identify monitoring and technical assistance needs, and evaluate the overall effectiveness of the Refugee IDA Program.

DESCRIPTION OF RESPONDENTS: (e.g. states or type of non-profit): Refugee IDA Program grantees include various types of non-profit organizations.

CERTIFICATION:

I certify the following to be true:

1. The collection is in compliance with HHS regulations.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

Name and Title: Yimeem Vu, Program Specialist

To assist OMB review of your request, please provide answers to the following question:

PERSONALLY IDENTIFIABLE INFORMATION:

1. Is personally identifiable information (PII) collected? [ ] Yes [ X] No

2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No

BURDEN HOURS

Category of Respondent	No. of Respondents	No. of Responses per Respondent (Annual)	Burden Hours per Response	Annual Burden Hours
Private Sector	26	4	6 hours	624 hours
Totals	26			624 hours

Note: Respondents reflect current program grantees funded by ORR in fiscal year 2023. Categories of respondents may change if new awards are made in the future.

FEDERAL COST: The estimated annual cost to the Federal government is no more than $1,910.80. This is based on the approximately 40 hours total spent in the review and data analysis for these surveys by GS-13s who make approximately $47.77 per hour

TYPE OF COLLECTION:

How will you collect the information? (Check all that apply)

[X ] Web-based

[ ] E-mail

[ ] Paper mail

[ ] Other, Explain

Please make sure that all instruments, instructions, and scripts are submitted with the request

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