Child Care Quartely Case-Level Report - ACF-801

Forms and Documents

Document Name	Status
Form ACF-801 Child Care Case-Level Report Form and Instruction	Modified
RE APHSA and NASCCA's Comments Letter on the ACF 801 Form - December 2011 Revisions .txt Supplementary Document	2012-04-09
ACF-801 Supporting Statement for 2011 (Final Version 2 0) 12-2.doc Supporting Statement A	2011-12-20

IC Document Collections

IC ID	Document Title	Status
9959	Child Care Case-Level Report Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0167	ICR Reference No: 201112-0970-003
Status: Historical Active	Previous ICR Reference No: 200903-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Child Care Quartely Case-Level Report - ACF-801
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: 04/09/2012
	Date Received in OIRA: 12/21/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved	04/30/2012
Responses	224	0	224
Time Burden (Hours)	5,600	0	4,480
Cost Burden (Dollars)	380,800	0	313,600

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Abstract: The Child Care and Development Block Grant Act of 1990, as amended, requires that States and Territories submit monthly case-level data on the children and families receiving direct services. On a quarterly or monthly basis (at grantee option). States and Territories provide monthly sample or full population case-level data which is used in reports to Congress, addressing national child care needs, research, technical assistance, and meeting performance measure requirements.

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Authorizing Statute(s): PL: Pub.L. 101 - 508 25 Name of Law: Child Care and Development Block Grant
  

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 42355	07/27/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78282	12/16/2011
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Child Care Case-Level Report	ACF-801	Quarterly Case Record Report

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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	224	224	0	0	0	0
Annual Time Burden (Hours)	5,600	4,480	0	1,120	0	0
Annual Cost Burden (Dollars)	380,800	313,600	0	67,200	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Additional data elements are being added which caused an increase in burden.

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Annual Cost to Federal Government: $513,600

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

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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: 12/21/2011

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