National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants

ICR 201808-0970-004

OMB: 0970-0462

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2018-09-11
Justification for No Material/Nonsubstantive Change
2018-09-11
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Supplementary Document
2018-02-01
Justification for No Material/Nonsubstantive Change
2017-07-12
Supplementary Document
2017-07-12
Supplementary Document
2016-10-24
Supplementary Document
2016-10-24
Supplementary Document
2016-10-24
Supplementary Document
2016-06-16
Supplementary Document
2016-06-16
Supplementary Document
2016-06-16
Supplementary Document
2016-06-16
Justification for No Material/Nonsubstantive Change
2016-06-16
Justification for No Material/Nonsubstantive Change
2016-01-26
Supplementary Document
2016-10-24
Supplementary Document
2015-05-11
Supporting Statement B
2018-09-11
Supporting Statement A
2018-09-13
Supplementary Document
2015-05-06
Supplementary Document
2015-08-05
Supplementary Document
2015-05-06
Supplementary Document
2018-02-01
Supplementary Document
2016-01-26
IC Document Collections
IC ID
Document
Title
Status
229940 Modified
229938 Unchanged
224119 Unchanged
224118 Unchanged
224113 Unchanged
224112 Unchanged
224110 Unchanged
224107 Unchanged
224101 Unchanged
224098 Modified
216432 Unchanged
216431 Unchanged
216430 Unchanged
ICR Details
0970-0462 201808-0970-004
Historical Active 201802-0970-001
HHS/ACF
National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 09/18/2018
Retrieve Notice of Action (NOA) 08/21/2018
  Inventory as of this Action Requested Previously Approved
06/30/2021 06/30/2021 06/30/2021
31,300 0 31,274
11,044 0 11,005
0 0 0
The ACF Office of Planning, Research and Evaluation (OPRE) has developed a multi-pronged research and evaluation portfolio for the HPOG 2.0 Program to better understand and assess the activities conducted and their results. This submission is in support of two components of the evaluation portfolio, the HPOG 2.0 National Evaluation and HPOG 2.0 Tribal Evaluation. OMB has previously approved several information collection requests under OMB Control Number 0970-0462 in support of both the National and Tribal evaluations. Under this information collect request, ACF seeks approval for the National Evaluation impact study’s Short-Term Follow-up Survey, to be conducted 15 months after randomization. This request is for a non-substantive change. This submission seeks approval for three nonsubstantive changes to previously approved information collection requests. First, it requests approval for minor changes in content to the National Evaluation impact study’s Short-Term Follow-up Survey (Instrument #12, approved in June 2018). Second, it seeks approval to add one additional question to Instrument #12. Third, it seeks approval for a modest increase in burden for the previously approved in-person implementation interviews (Instrument #4, approved in June 2017). Justification for these non-substantive changes can be found in the supplementary document HPOG 2.0 Memo to OMB_Pretest changes_Expanded Site Visits_V4_REV091118.docx.
PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  
None
Not associated with rulemaking
  82 FR 41269 08/30/2017
83 FR 5104 02/05/2018
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 31,300 31,274 0 26 0 0
Annual Time Burden (Hours) 11,044 11,005 0 39 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The Department seeks approval for a small increase in burden in order to increase the number of site visits and corresponding interviews. Under the expanded effort, the study team will visit three programs for each of the five focus areas. The expanded effort will include a total of 15 site visits and 177 completed interviews. No changes to Instrument #4 are required.
$4,910,849
No
    Yes
    No
Yes
No
No
Uncollected
Emily Jabbour 212 264-2890 ext. 273 emily.ball@acf.hhs.gov
  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.
08/21/2018
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