ADP and Services Condition for Federal Financial Particiapation

Forms and Documents

Document Name	Status
apd_guide_2.pdf Supplementary Document	2017-08-15
Suppot_Statement_2017_Revised.docx Supporting Statement A	2018-01-10

IC Document Collections

IC ID	Document Title	Status
211848	System Certification	Unchanged
211847	Independent Verification and Validation (quarterly)	Unchanged
211846	Independent Verification and Validation (semiannually)	Unchanged
211845	Independent Verification and Validation (ongoing)	Unchanged
183070	Operational Advance Planning Document	Unchanged
183069	Emergency Funding Requests	Modified
183068	Biennial Reports	Unchanged
183067	Advance Planning Document	Modified
10450	RFP and Contract	Unchanged

ICR Details

OMB Control No: 0970-0417	ICR Reference No: 201708-0970-006
Status: Active	Previous ICR Reference No: 201406-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: ADP and Services Condition for Federal Financial Particiapation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/10/2018
	Date Received in OIRA: 08/16/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	216	0	216
Time Burden (Hours)	6,439	0	6,439
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this request is to obtain an extension to OMB's approval of the reporting and recordkeeping requirements contained in rules at 45 CFR Part 95, Subpart F. These rules pertain to state requests for HHS approval of federal financial participation (FFP) in the costs of ADP systems, equipment and services which support states' administration of HHS' public assistance programs. These include Annual and As-Needed Advance Planning Documents, Request for Proposal (RFP) and contract submissions for prior Federal approval, emergency requests, service agreements and biennial security reports. A final rule making significant changes to the underlying regulation at 45 CFR Part 95 would reduce the information collection burden. The final rule is anticipated to be published in Nov-December 2010 timeframe.

---

Authorizing Statute(s): US Code: 42 USC 626(b) Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 89108	12/16/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 38694	08/15/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Biennial Reports
Emergency Funding Requests
RFP and Contract
Advance Planning Document
Operational Advance Planning Document
Independent Verification and Validation (ongoing)
Independent Verification and Validation (semiannually)
Independent Verification and Validation (quarterly)
System Certification

---

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	216	216	0	0	0	0
Annual Time Burden (Hours)	6,439	6,439	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $2,529,009

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  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:

(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: 08/16/2017

---