OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

ADP and Services Condition for Federal Financial Particiapation

ICR 201406-0970-005 · OMB 0970-0417 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
apd_guide_2.pdf Supplementary Document Uploaded 2014-06-11 Available
ADP Servicesandconditionfinal.docx Supporting Statement A Uploaded 2014-06-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211848 System Certification New
211847 Independent Verification and Validation (quarterly) New
211846 Independent Verification and Validation (semiannually) New
211845 Independent Verification and Validation (ongoing) New
183070 Operational Advance Planning Document Modified
183069 Emergency Funding Requests Modified
183068 Biennial Reports Modified
183067 Advance Planning Document Modified
10450 RFP and Contract Modified
ICR Details
0970-0417 201406-0970-005
Historical Active 201307-0970-007
HHS/ACF OCSE
ADP and Services Condition for Federal Financial Particiapation
Extension without change of a currently approved collection   No
Regular
Approved without change 09/16/2014
Retrieve Notice of Action (NOA) 06/12/2014
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 08/31/2016
216 0 169
6,439 0 5,861
0 0 0
The purpose of this request is to obtain an extension to OMB's approval of the reporting and recordkeeping requirements contained in rules at 45 CFR Part 95, Subpart F. These rules pertain to state requests for HHS approval of federal financial participation (FFP) in the costs of ADP systems, equipment and services which support states' administration of HHS' public assistance programs. These include Annual and As-Needed Advance Planning Documents, Request for Proposal (RFP) and contract submissions for prior Federal approval, emergency requests, service agreements and biennial security reports. A final rule making significant changes to the underlying regulation at 45 CFR Part 95 would reduce the information collection burden. The final rule is anticipated to be published in Nov-December 2010 timeframe.
US Code: 42 USC 626(b) Name of Law: null
  
None
Not associated with rulemaking
  79 FR 19344 02/03/2014
79 FR 27619 05/14/2014
No
  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 216 169 0 47 0 0
Annual Time Burden (Hours) 6,439 5,861 0 578 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The Computerized Support Enforcement Systems (OMB No. 0970-0421) was migrated into this ICR which caused an increase in burden.
$2,529,009
No
No
No
No
No
Uncollected
Robert Sargis 2026907275
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/12/2014