NOA - BUILD GenIC

NOA_BUILD Template_12.17.2020.pdf

Formative Data Collections for ACF Program Support

NOA - BUILD GenIC

OMB: 0970-0531

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NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

12/17/2020

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Perryn Ashmore

FOR CLEARANCE OFFICER:

Terry Clark

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
12/14/2020
ACTION REQUESTED: Generic IC
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template
IC TITLE:
ICR REFERENCE NUMBER:

202010-0970-008

AGENCY ICR TRACKING NUMBER:
TITLE:

OPRE

Formative Data Collections for ACF Program Support

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0531

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 07/31/2022

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

4,750

8,250

166,897

New

5,440

9,450

191,174

0

0

0

690

1,200

24,277

0

0

0

0

Difference
Change due to New Statute
Change due to Agency Discretion
Change due to Agency Adjustment
Change due to PRA Violation

0

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Paul Ray
Administrator,
Office Of Information And Regulatory Affairs

IC Title
State Department of
Education Contacts
Form
Supporting Working
Families: ACF
Roundtables on
Improving Access to
High-Quality Child Care
Fathers and Continuous
Learning in Child
Welfare Project
Feedback on Materials
for Father Involvement
National Media
Campaign
Building Capacity to
Evaluate Child Welfare
Community
Collaborations to
Strengthen and
Preserve Families
(CWCC) Grantee Local
Evaluation Plan and
Implementation Plan
Templates
Refugee Support
1
Services (RSS) SetAside Sub-Grantees
Tribal Continuous
Quality Improvement
Collaboratives
Self-Regulation Training
Approaches and
Resources to Improve
Staff Capacity for
Implementing Healthy
Marriage Services for
Youth (SARHM)
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Survey of Higher
Education Instructors to
Support the
Development of
Teaching Materials
Based on OPRE's
Research and
Evaluation
Using Concept Mapping
to Develop a Theory to
Describe the Work of
the National Domestic
Violence Hotline with
Family and Friends of
Victims/Survivors –
Formative Data
Collection
2020 August Grantee
Survey on COVID-19
Response Efforts

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp
54 / 0 / 54
2,500 / 0 / 1,000

1,225 / 0 / 2,449
65 / 0 / 66

162 / 0 / 36

RSS Form

112 / 0 / 56
950 / 0 / 380
25 / 0 / 25

420 / 0 / 84

88 / 0 / 350

159 / 0 / 360

6 / 0 / 174

IC Title

Form No.

List of ICs
Form Name

CFR Citation

2020 Septmember
Grantee Survey on
COVID-19 Response
Efforts
OFA Training and
1
Grantee Characteristics
Technical Assistance
Form
(TTA)
Communications Focus
Groups for Remaking
the Safety Net
Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS) – Case Study
of Parent Reflections
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Office of Early
Childhood Development
Radical Family
Engagement National
Stakeholder Meeting
Supporting Partnerships
to Advance Research
and Knowledge
Healthy Marriage and
Responsible
Fatherhood Grantee
Data Collection Plan
Template
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
6 / 0 / 174

136 / 0 / 136
2,074 / 0 / 6,032
147 / 0 / 240

33 / 0 / 24

55 / 0 / 110

364 / 0 / 310
678 / 0 / 113

9,259


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