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Federal forms, ICRs, and supporting documents

Information Collection Request

Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS)

ICR 202004-0970-012 · OMB 0970-0497 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Appendix A_60 Day FRN_PREP PMAPS Revision 2020_0970-0497_2.28.20.pdf Supplementary Document Uploaded 2020-04-29 Available
Memo - PREP PMAPS NonSub Change Request_07_29_19_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-07-29 Available
Appendix B_Consent letters and forms_clean_FOOTER_030117.docx Supplementary Document Uploaded 2017-04-03 Available
Supporting Statement B - Revision_043020_clean_final.docx Supporting Statement B Uploaded 2020-04-30 Available
Supporting Statement A - Revision 043020_clean.docx Supporting Statement A Uploaded 2020-04-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
223555 Performance Measure Data Report Form (Instrument 4) Other-Data Entry Form Modified
223554 Performance Measures Data Report Form - Grantees (Instrument 3) Other-Data Entry Form Modified
223553 Core measures (Instrument 5) Other-Survey Removed
223552 Exit Survey (Instrument 2) Other-Survey Modified
223549 Entry Survey (Instrument 1) Other-Survey Modified
ICR Details
0970-0497 202004-0970-012
Historical Active 201907-0970-008
HHS/ACF OPRE
Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS)
Revision of a currently approved collection   No
Regular
Approved without change 06/17/2020
Retrieve Notice of Action (NOA) 04/30/2020
  Inventory as of this Action Requested Previously Approved
06/30/2023 36 Months From Approved 06/30/2020
204,793 0 265,865
43,581 0 51,311
0 0 0
This Information Collection Request is to make revisions to the previously approved participant entry and exit surveys, and to continue the ongoing data collection of the performance measures from Personal Responsibility Education Program (PREP) grantees. We are requesting three years of approval of this descriptive study.
PL: Pub.L. 114 - 10 215 Name of Law: Medicare Access and CHIP Reauthorization Act of 2015
  
None
Not associated with rulemaking
  85 FR 11995 02/28/2020
85 FR 23967 04/30/2020
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 204,793 265,865 0 -15,999 -45,073 0
Annual Time Burden (Hours) 43,581 51,311 0 -1,280 -6,450 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This data collection is a continuation of a currently approved data collection. Changes to the burden reflect estimated numbers of additional cohorts to be served by PREP grantees.
$484,477
No
    Yes
    No
No
No
No
No
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.
04/30/2020