Tribal PREP Implementation Plan and PPR

Forms and Documents

Document Name	Status
Form 1 Tribal PREP PPR Form	New
FYSB Tribal PREP Supporting Statement 2012.doc Supporting Statement A	2012-05-08

IC Document Collections

IC ID	Document Title	Status
202179	Tribal PREP PPR Form	New
202178	Tribal PREP Implementation Plan Instruction	New

ICR Details

OMB Control No: 0970-0410	ICR Reference No: 201205-0970-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Tribal PREP Implementation Plan and PPR
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	Conclusion Date: 09/19/2012
	Date Received in OIRA: 09/15/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved
Responses	48	0	0
Time Burden (Hours)	1,760	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Personal Responsibility Education Program (authorized by P.L. 11-148) requires that grantees funded select an evidence based program model for implementation of the project. In order to assess and evaluate grantee progress throughout the project, information is needed from the grantees in addtion to the PPR Cover Page. This addtional information is primarily requested in the form of performance indicators as they relate to the six standared areas of inquiry/assessment in the PPR. This Tribal PREP PPR is nearly identical to the State PREP PPR, OMB Control No. 0970-0380.

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Authorizing Statute(s): None

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 62417	10/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 23729	04/20/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Tribal PREP Implementation Plan
Tribal PREP PPR	1	PREP PPR

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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	48	0	0	48	0	0
Annual Time Burden (Hours)	1,760	0	0	1,760	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: This is a new collections.

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Annual Cost to Federal Government: $6,000

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]? Yes

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: 05/08/2012

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