Administration for Children and Families External Speaker Request Form
Formative Data Collections for Program Support
0970 – 0531
Supporting Statement
Part A - Justification
May 2022
Submitted By:
Immediate Office of the Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services
4th Floor, Mary E. Switzer Building
330 C Street, SW
Washington, D.C. 20201
A1. Necessity for the Data Collection
The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval of a form to be embedded on a public facing webpage for individuals and organizations to submit speaker requests for ACF leadership or subject matter experts – such as the assistant secretary, program leadership, or program staff – to participate in an external event.
For the consideration of each request to be done fairly and efficiently, there must be uniformity in the information submitted for each invitation regardless of the requesting organization or individual. This electronic form will provide structure and consistency to ensure the process is fair, streamlined, and more efficient.
There are no legal or administrative requirements that necessitate the collection. ACF is undertaking the collection at the discretion of the agency.
A2. Purpose of Survey and Data Collection Procedures
Overview of Purpose and Use
The purpose of this information is to streamline the process of the public submitting and ACF responding to requests for ACF leadership or subject matter experts – such as the assistant secretary, program leadership, or program staff to participate in speaking engagements, presentations, interviews, and other external events. The data will be used to review requests and inform ACF’s decisions about speaking engagements. If a speaking engagement is scheduled, the information may be used to inform correspondence, speeches, or other prepared materials associated with the request.
Refinement of program processes, and the development and refinement of communication systems.
Processes for Information Collection
To request the participation of ACF leadership or subject matter experts at any external event, individuals or organizational representatives can access and complete a fillable form, available on the ACF website. Once complete, the form will be submitted to the deputy assistant director for external communications and external affairs via an embedded link, by pressing a “submit” button at the bottom of the form. Details required before the form can be submitted will include:
Name of inviting organization or individual
501(c)(3) status of inviting organization or individual
Description of the organization
Organization website
Event name
Event type
Event topic
Event description
Dates of event
Requested speaking date, time, and duration
Flexibility for date/time/duration changes
Deadline for confirmation
Q&A duration
Proposed speaking topic(s) and details
Event venue including location (address, city, state)
Audience size and makeup
Recording or publication details
Invited media outlets
Identity of other invited and/or confirmed speakers
Is this a fundraising event
Any presentation of awards or gifts
Promotional materials
Open to the public or invitation only
A3. Improved Information Technology to Reduce Burden
The electronic submission of this information by the requesting organization or individual will ensure the data submitted is accurate and consistent for each request. The data can be used to streamline the review and speed up the vetting process facilitating the final decision. It will also allow the data to be easily used in other formats such as spreadsheets, email, correspondence, speeches, prepared materials associated with the request.
A4. Efforts to Identify Duplication
This is not a duplication of effort, but instead ACF is building off of work done by other government agencies. This type of form is already being successfully used by other officials and agencies within HHS; however, it has not yet been implemented for ACF. One such example currently in use is SAMHSA’s speaker request form.
A5. Involvement of Small Organizations
The use of this form would reduce the burden on small organizations and businesses by streamlining the request process. All required information will be collected with the initial request rather than back-and-forth efforts between ACF and the requestor. The process will be the same for all requestors regardless of the size of the organization.
A6. Consequences of Less Frequent Data Collection
The data collected would be unique to each request and less burdensome for all involved. Thus, this would be a one-time data collection.
A7. Special Circumstances
There are no special circumstances for the proposed data collection efforts.
A8. Federal Register Notice and Consultation
Federal Register Notice and Comments
On January 28, 2022, ACF a notice (87 FR 4603) providing a sixty-day period related to an extension request to this umbrella clearance. No comments were received. ACF will submit a request to extend approval and publish an additional notice allowing a thirty-day period for public comment prior to July 31, 2022.
No consultations have taken place with experts outside of the project team.
A9. Tokens of Appreciation for Respondents
No tokens of appreciation for respondents are proposed for this information collection.
A10. Privacy of Respondents
Personally identifiable information will be collected for the purposes of following up with the requestor. Information collected will be kept private to the extent permitted by law. Respondents will be informed of all planned uses of data, that their participation is voluntary, and that their information will be kept private to the extent permitted by law.
Information will not be maintained in a paper or electronic system from which data are actually or directly retrieved by an individuals’ personal identifier.
A11. Sensitive Questions
There are no sensitive questions in this data collection.
A12. Estimation of Information Collection Burden
Burden Estimates
This is a new process but based on the current number of requests for speaking engagements received by ACF annually, and an anticipation that an online form and streamlined will likely increase the number of requests, we have estimated about 5 responses a month and 60 per year. We estimate the form will take about 30 minutes to complete.
Cost Estimates
The cost to respondents was calculated using the Bureau of Labor Statistics (BLS) job code for Community and Social services Occupations [21-0000] and wage data from May 2021, which is $25.94 per hour. To account for fringe benefits and overhead the rate was multiplied by two which is $51.88.
https://www.bls.gov/oes/current/oes_stru.htm
Instrument |
Annual Number of Respondents |
Total Number of Responses Per Respondent |
Average Burden Hours Per Response |
Annual Burden Hours |
Average Hourly Wage |
Total Annual Cost |
Form requesting participation of ACF leadership or subject matter experts at external event |
60 |
1 |
.5 |
30 |
$51.88 |
$1556.40 |
A13. Cost Burden to Respondents or Record Keepers
There are no additional costs to respondents.
A14. Estimate of Cost to the Federal Government
The total cost for the data collection activities under this current request will be $1556.40.
A15. Change in Burden
This is for an individual information collection under the umbrella formative generic clearance for program support (0970-0531).
A16. Plan and Time Schedule for Information Collection, Tabulation and Publication
This will not involve regularly scheduled collection of data. Rather, the information collected will be on a case-by-case basis when an organization or individual submits a request for the assistant secretary to contribute to an external event by speaking, attending or other specified participation. The information submitted will be unique to each event, so there will be no need for data comparisons for one submission to another. The information submitted will not be made public, but the information may be incorporated into materials related to a public speaking event.
A17. Reasons Not to Display OMB Expiration Date
All instruments will display the expiration date for OMB approval.
A18. Exceptions to Certification for Paperwork Reduction Act Submissions
No exceptions are necessary for this information collection.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | OPRE OMB Clearance Manual |
Author | DHHS |
File Modified | 0000-00-00 |
File Created | 2024-10-07 |