Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey
OMB Information Collection Request
0970 – 0531
Supporting Statement
Part A - Justification
July 2023
Submitted By:
Office of Family Violence Prevention and Services
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 to collect feedback from grantees and sub-recipients implementing the American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding. Information from the proposed survey is intended to provide necessary information about recipients’ and sub-recipients’ work force capacity, types of services, trainings, technical assistance, demographics, and challenges and accomplishments when implementing ARP culturally specific domestic violence and sexual assault supplemental funding.
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 request under ACF’s generic clearance for formative data collections for program support (0970-0531) is to inform effective and efficient program support and services, training, and technical assistance to grantees and sub-recipients implementing ARP supplemental funding. OFVPS needs additional feedback not collected in the annual PPR related to their service implementation to plan adequate training and support. The request includes progress narratives and accomplishments examples, which will be used as peer support technical assistance models/examples to help FVPSA grantees learn from their peers and refine their implementation of FVPSA grants. These accomplishment examples will always adhere to FVPSA privacy requirements and will not include any personally identifiable information. OFVPS may feature grantee implementation stories as part of our grantee meetings and webinars as examples of promising practices.
The results will not be disseminated to the public. Information gathered will not be used for the purpose of substantially informing influential policy decisions and reporting to members of Congress.
Processes for Information Collection
Information will be collected through an online questionnaire/survey hosted by Grant Solutions. Respondents will include ARP supplemental discretionary grantees including primarily executive level staff and programs administrators at the discretionary grantees and the sub-recipients domestic and sexual violence programs. OFVPS will send an email to respondents requesting their participation.
A3. Improved Information Technology to Reduce Burden
OFVPS will employ technology to reduce the burden to respondents who agree to participate. The questionnaire/survey will be completed online.
A4. Efforts to Identify Duplication
This questionnaire does not include duplicative items nor will items include requests for information. We have reviewed information that is currently requested as part of the annual PPR to ensure this collection does not request information we could access through that.
A5. Involvement of Small Organizations
To minimize the burden on small entities, the data collection will be online to allow respondents to participate at times that are convenient for them.
A6. Consequences of Less Frequent Data Collection
This is 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
In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 104-13) and Office of Management and Budget (OMB) regulations at 5 CFR Part 1320 (60 FR 44978, August 29, 1995), ACF published a notice in the Federal Register announcing the agency’s intention to request an OMB review of this information collection request to extend approval of the umbrella generic with minor changes. The notice was published on January 28, 2022, (87 FR 4603), and provided a sixty-day period for public comment. ACF did not receive any comments on the first notice. A second notice was published, allowing a thirty-day period for public comment, in conjunction with submission of the request to OMB. ACF did not receive any comments on the second notice.
OFVPS consultation has and will continue to include discussion with the Grant Solutions team.
A9. Tokens of Appreciation for Respondents
No tokens of appreciation for respondents are proposed for this information collection.
A10. Privacy of Respondents
Name of the organization and staff name, title, and contact information is requested in order to follow up, if needed. 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. The survey does request information about the total number of clients served by race and ethnicity as well as by underserved types. This information will be provided completely in the aggregate and will be used to inform technical assistance provided to grant recipients.
A12. Estimation of Information Collection Burden
Burden Estimates
Responses will be completed by existing grantee and sub-recipient staff using data collection and reporting procedures currently in place for grant recipients. Most grantees will spend no more than 1 hour developing responses and answering the questionnaire in the online system. The OFVPS has 5 discretionary grantees and 140 sub-recipients, totaling 145 respondents.
Cost Estimates
The cost to respondents was calculated using the Bureau of Labor Statistics (BLS) job code for Child and Family Social Workers [21-1021] and wage data from May 2022, which is $27.25 per hour. To account for fringe benefits and overhead the rate was multiplied by two which is $54.50 per hour. The total burden and cost estimate is $7,920.50. https://www.bls.gov/oes/current/oes_stru.htm
Instrument |
Total Number of Respondents |
Total Number of Responses Per Respondent |
Average Burden Hours Per Response |
Total Burden Hours |
Average Hourly Wage |
Total Annual Cost |
American Rescue Plan Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey |
145 |
1 |
1 |
145 |
$54.50 |
$7,920.50 |
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 $2,500.00.
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
The questionnaire/survey will be distributed on or about August 5, 2023, pending OMB approval. Information will be collected and used internally by OFVPS for informing future training and technical assistance provided to ARP Supplemental Grant recipients. OFVPS may feature grantee implementation stories as part of our grantee meetings and webinars as examples of promising practices.
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 |