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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 202008-0970-006 · OMB 0970-0497 · Active

Forms and Documents
DocumentTypeStatusAvailability
NonSub Change Request_PREP PMAPS_August 2020.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-08-10 Available
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_final_updated 080520_clean.docx Supporting Statement A Uploaded 2020-08-10 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
223552 Exit Survey (Instrument 2) Other-Survey Unchanged
223549 Entry Survey (Instrument 1) Other-Survey Unchanged
ICR Details
0970-0497 202008-0970-006
Active 202004-0970-012
HHS/ACF OPRE
Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/19/2020
Retrieve Notice of Action (NOA) 08/10/2020
  Inventory as of this Action Requested Previously Approved
06/30/2023 06/30/2023 06/30/2023
204,793 0 204,793
44,367 0 43,581
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 204,793 204,793 0 0 0 0
Annual Time Burden (Hours) 44,367 43,581 0 786 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This data collection is a continuation of a currently approved data collection. Changes to the burden are due to the addition of COVID-19-related questions on Instruments 3 and 4 (Performance reporting system data from - grantees; Performance reporting system data form - sub-awardees.)
$484,477
No
    Yes
    No
No
No
No
Yes
Camille Wilson 202 565-0162 [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.
08/10/2020