Communities Empowering Youth (CEY) Program Evaluation

OMB Control No: 0970-0335	ICR Reference No: 200902-0970-003
Status: Historical Active	Previous ICR Reference No: 200709-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Communities Empowering Youth (CEY) Program Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/17/2009
Terms of Clearance: Prior terms of clearance continue to apply: "This ICR is approved consistent with memo of 11/27/07. ACF shall revise all instruments accordingly before fielding them."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	12/31/2010	12/31/2010
Responses	354	0	810
Time Burden (Hours)	165	0	608
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the submission is to request OMB approval of a revision to the information collection instrument to be used as a follow-up survey. The overall reduction in burden comes from ACF not requesting continued approval for the baseline instrument as data collection is complete.

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Authorizing Statute(s): PL: Pub.L. 107 - 116 404 Name of Law: Departments of Labor, Health and

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:
	73 FR 52860	09/11/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 7442	02/17/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Communities Empowering Youth (CEY) Evaluation - Follow-up Survey

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ICR Summary of Burden

	Total Approved	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	354	810	0	-456	0	0
Annual Time Burden (Hours)	165	608	0	-443	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change is based on experience administering the baseline and a more precise number of partner organizations involved in CEY grants. The overall reduction in burden comes from ACF eliminating the baseline instruments since data collection is complete.

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Annual Cost to Federal Government: $213,023

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Brendan Kelly 2024015695

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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: 02/17/2009

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