[NCIPC] RAPE PREVENTION AND EDUCATION (RPE) PROGRAM

Forms and Documents

Document Name	Status
Form 0920-24AA Lead Evaluator Survey INTRODUCTION Form and Instruction	Modified
Form 0920-24AA Program Director Survey Form and Instruction	Modified
Form 0920-24AA Annual Performance Report (APR) Tool Form	Modified
Change Request Memo - 0920-1431_072225.docx Justification for No Material/Nonsubstantive Change	2025-07-23
SSB_RPE_Program_clean.docx Supporting Statement B	2025-07-23
SSA_RPE Program_clean.docx Supporting Statement A	2025-07-23
Att. 7 Research Determination.pdf Supplementary Document	2024-02-23
Att. 6 OMB-PII-Privacy Act-Determination-RPEReporting-ISSO.pdf Supplementary Document	2024-02-23
Att. 1PHSA_301a_USC_241a and Section 393USC 280b-1a.pdf Supplementary Document	2024-02-23

IC Document Collections

IC ID	Document Title	Status
265751	Lead Evaluator Survey INTRODUCTION Form and Instruction	Modified
265749	Program Director Survey Form and Instruction	Modified
265746	Annual Performance Report (APR) Tool Form	Modified

ICR Details

OMB Control No: 0920-1431	ICR Reference No: 202507-0920-011
Status: Received in OIRA	Previous ICR Reference No: 202402-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0138
Title: [NCIPC] RAPE PREVENTION AND EDUCATION (RPE) PROGRAM
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/23/2025

	Requested	Previously Approved
Expiration Date	04/30/2027	04/30/2027
Responses	384	384
Time Burden (Hours)	1,408	1,408
Cost Burden (Dollars)	0	0

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Abstract: The goal of this ICR is to to collect data to monitor project performance from recipients funded under the Rape Prevention and Education Program (RPE) funding opportunity. Information collected from recipients will be used to monitor and evaluate progress of program goals and objectives, identify technical assistance. This change request is submitted in order to comply with current EOs. The burden is unaffected.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

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:
	88 FR 71362	10/16/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 19595	03/19/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Annual Performance Report (APR) Tool	0920-24AA	Annual Performance Report (APR) Tool
Lead Evaluator Survey INTRODUCTION	0920-24AA	Lead Evaluator Survey
Program Director Survey	0920-24AA	Program Director Survey

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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	384	384	0	0	0	0
Annual Time Burden (Hours)	1,408	1,408	0	0	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: No

Burden Reduction Due to:

Short Statement: “This is a NEW data/information collection.”

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Annual Cost to Federal Government: $116,494

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 07/23/2025

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