OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)

ICR 201606-0970-006 · OMB 0970-0462 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2016-06-16 Repair queued
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2016-06-16 Available
Attachment B_Approved non-tribal, adult lottery not required consent form.docx Supplementary Document Uploaded 2016-06-16 Available
HPOG2 Supporting Statement_Updated Part A_June 2016 - TRACK CHANGES.docx Supplementary Document Uploaded 2016-06-16 Repair queued
Memo to OMB RE_Revised Consent Forms for Tribal Study_06 15 16.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-06-16 Available
Memo to OMB RE_Revised Consent Forms 011116_v3.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-01-26 Available
Attachment A. References_5.11.15.docx Supplementary Document Uploaded 2015-05-11 Repair queued
Attachment G. Contact Update Letter and Form.docx Supplementary Document Uploaded 2015-05-11 Available
HPOG2 Supporting Statement_Part B_01.14.16_clean.docx Supporting Statement B Uploaded 2016-01-26 Available
HPOG2 Supporting Statement_Part A_Revised 06 15 16_clean.docx Supporting Statement A Uploaded 2016-06-16 Repair queued
Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document Uploaded 2015-05-06 Available
FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document Uploaded 2015-08-05 Available
Attachment D. Sources and Justification_5.4.15.docx Supplementary Document Uploaded 2015-05-06 Available
Attachment B. Informed Consent Forms_01.25.16 clean.docx Supplementary Document Uploaded 2016-01-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
216432 PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System Unchanged
216431 PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System Unchanged
216430 PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System Unchanged
ICR Details
0970-0462 201606-0970-006
Historical Active 201601-0970-009
HHS/ACF
Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/12/2016
Retrieve Notice of Action (NOA) 06/16/2016
  Inventory as of this Action Requested Previously Approved
08/31/2018 08/31/2018 08/31/2018
9,064 0 9,064
6,432 0 6,432
0 0 0
The Evaluation and System Design for Career Pathways Programs: 2nd Generation of Health Profession Opportunity Grants (HPOG Next Gen Design) is funded by the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF). The ACF Office of Family Assistance (OFA) has announced plans to award a second round of HPOG grants by September 2015. One of the key objectives of HPOG Next Gen Design is to establish a new data system to support program management and evaluation of the new HPOG grantees. The data system will meet the performance data needs of the HPOG Next Gen grantees and of OFA to monitor the performance of the grants and prepare the report to Congress on the grants, as well as support an impact study, a separate but coordinated Tribal evaluation, and other future research and evaluation efforts sponsored by ACF. ACF is seeking clearance from OMB for the data collection via the new data system, called the HPOG Next Gen Participant Accomplishment and Grant Evaluation System (PAGES). The information collection proposed is internet-based and includes gathering data from the HPOG Next Gen grantees on: (1) grantee program designs and offerings; (2) intake information on eligible applicants (both treatment and control) through baseline data collection; and (3) individual enrolled program participants' activities and outcomes.
PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  80 FR 11679 03/04/2015
80 FR 26927 05/11/2015
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 9,064 9,064 0 0 0 0
Annual Time Burden (Hours) 6,432 6,432 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Burden estimates updated based on actual number of grants.
$673,416
No
No
Yes
No
No
Uncollected
Molly Buck 202 205-4724 [email protected]
  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.
06/16/2016