Gender Assessment Surveys

Forms and Documents

Document Name	Status
Form SV2011-0029 Institute for Representative Government (IRG) Survey Form and Instruction	New
Form SV2011-0030 International Leaders in Education Program (ILEP) Survey Form and Instruction	New
Form SWV2011-0027 FORTUNE Survey Form and Instruction	New
Form SV2011-0028 American Fellows Program Survey Form and Instruction	New
Legal Authorities (6-2012).doc Supplementary Document	2012-06-19
Revised Supporting Statement Part B (6-2012).doc Supporting Statement B	2012-06-19
Revised Supporting Statement Gender Surveys (6-2012).doc Supporting Statement A	2012-06-19

IC Document Collections

IC ID	Document Title	Status
201745	Institute for Representative Government (IRG) Survey Form and Instruction	New
201744	International Leaders in Education Program (ILEP) Survey Form and Instruction	New
201743	FORTUNE Survey Form and Instruction	New
201742	American Fellows Program Survey Form and Instruction	New

ICR Details

OMB Control No: 1405-0205	ICR Reference No: 201203-1405-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Gender Assessment Surveys
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/19/2012
	Date Received in OIRA: 03/29/2012
Terms of Clearance: State will update the survey instruments prior to distributing to program participants.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2013	36 Months From Approved
Responses	778	0	0
Time Burden (Hours)	404	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection will allow ECA/P/V to conduct surveys of Fortune, ILEP, IRG and American Fellows who participated in exchange programs between 2003 and 2010 as part of the Gender Assessment Evaluation. Collecting this data will help ECA/P/V assess and measure the program's impact, specifically the similarities and differences between men and women participants in terms of application of new skill sets and knowledge. Data collections efforts will be conducted via an online survey tool.

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Authorizing Statute(s): US Code: 22 USC 2451 Name of Law: Mutual Educational and Cultural Exchange Act of 1961
  

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:
	76 FR 221	11/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 34	02/21/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
American Fellows Program Survey	SV2011-0028	American Fellows Survey
FORTUNE Survey	SWV2011-0027	FORTUNE Survey
Institute for Representative Government (IRG) Survey	SV2011-0029	Institute for Representative Government (IRG) Survey
International Leaders in Education Program (ILEP) Survey	SV2011-0030	International Leaders in Education Program (ILEP) Survey

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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	778	0	0	778	0	0
Annual Time Burden (Hours)	404	0	0	404	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: The changes noted are due to submission as new collection

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Annual Cost to Federal Government: $238,885

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 03/29/2012

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