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SUPPORTING STATEMENT

FOR PAPERWORK REDUCTION ACT SUBMISSION

A. Justification 

1. Explain the circumstances that make the collection of information necessary. Identify any

legal or administrative requirements that necessitate the collection. Attach a hard copy of the 

appropriate section of each statute and regulation mandating or authorizing the collection of 

information, or you may provide a valid URL link or paste the applicable section1. Specify the 

review type of the collection (new, revision, extension, reinstatement with change, reinstatement 

without change). If revised, briefly specify the changes. If a rulemaking is involved, make note 

of the sections or changed sections, if applicable.

The Department of Education (Department) is requesting approval for the revision of the 

Child Care Access Means Parents in School (CCAMPIS) annual performance report form 

(APR) (OMB No.: 1840-0763) for a period of three years. The currently approved form, 

1840-0763, expires on July 31, 2015. The revised APR conforms more closely to the 

Office of Management and Budget (OMB) mandates to (more) specifically report 

program results demonstrated. The revised form collects more specific data aggregated 

to provide national information on project participants and results demonstrated by

CCAMPIS program outcomes. The CCAMPIS annual performance reporting is required 

by the Higher Education Opportunity Act of 2008 (P.L. 110-315), which amended and 

reauthorized the Higher Education Act (HEA) of 1965.

The CCAMPIS Program provides grants to institutions of higher education to assist the 

institutions in providing campus-based child care services to low-income students. The 

CCAMPIS Program is authorized by § 419N of the HEA, 20 USC § 1070e

(http://www2.ed.gov/policy/highered/leg/hea98/sec410.html) and the Education 

Department General Administrative Regulations (EDGAR), § 80.40, Monitoring and 

reporting program performance, specifies an annual reporting period for CCAMPIS 

grantees. The Department will use the collected information to make decisions on 

whether to issue non-competing continuation grants to funded grantees under the 

CCAMPIS Program. 

 

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2. Indicate how, by whom, and for what purpose the information is to be used. Except for a new 

collection, indicate the actual use the agency has made of the information received from the 

current collection. 

The annual performance report form requests childcare accreditation data as well as 

information on students whose children are served by the CCAMPIS program. This data 

is used to determine progress in student enrollment, persistence, and graduation based on 

the authorizing legislation and EDGAR. Failure to collect this information would 

prevent the awarding of appropriated funds since essential information would not be 

available to determine substantial progress of the grantees in the non-competing 

continuation phase of the program. 

In addition, the performance reports are used for the purposes of budget submissions to 

OMB; Congressional hearing testimonials; Congressional inquiries; performance 

measuring; and responding to inquiries from higher education interest groups and the 

general public.

3. Describe whether, and to what extent, the collection of information involves the use of 

automated, electronic, mechanical, or other technological collection techniques or forms of 

information technology, e.g. permitting electronic submission of responses, and the basis for the 

decision of adopting this means of collection. Also describe any consideration given to using 

technology to reduce burden. 

The Department has established a Word and Excel fillable format for the reports that can 

be submitted electronically via e-mail. Optionally, grantees without electronic capability

may submit via standard mail. The CCAMPIS grantees have been electronically

submitting the performance reports via e-mail and optionally via standard mail for the 

past few years. Collected data summarizes project participant and service information 

and poses a low-level security risk. No personal identification or sensitive data is 

requested or required and this eliminates the potential risk of exposure of such 

information in electronically mailed or standardly mailed reports. 

4. Describe efforts to identify duplication. Show specifically why any similar information 

already available cannot be used or modified for use for the purposes described in Item 2 above.

Since the information submitted in the report is unique to each respondent, no duplication 

exists as far as can be determined. No other collection instrument is available to collect 

the information that is being requested.
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5. If the collection of information impacts small businesses or other small entities, describe any

methods used to minimize burden. A small entity may be (1) a small business which is deemed 

to be one that is independently owned and operated and that is not dominant in its field of 

operation; (2) a small organization that is any not-for-profit enterprise that is independently

owned and operated and is not dominant in its field; or (3) a small government jurisdiction, 

which is a government of a city, county, town, township, school district, or special district with a 

population of less than 50,000.

This information collection does not involve small businesses or other small entities.

6. Describe the consequences to Federal program or policy activities if the collection is not 

conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing 

burden.

The collection of performance reporting is mandated annually. Collection of information 

on a less frequent basis would violate the authorizing statute of the HEOA Section 419N 

(e). These reports are used to determine if the grantees are making satisfactory progress 

in meeting the goals and objectives proposed in their initial applications. This data 

collection also provides the CCAMPIS Program with information on efficiency measures 

requirements and information to develop improved policies for program administration.

7. Explain any special circumstances that would cause an information collection to be conducted 

in a manner:

 requiring respondents to report information to the agency more often than quarterly;

 requiring respondents to prepare a written response to a collection of information in 

fewer than 30 days after receipt of it;

 requiring respondents to submit more than an original and two copies of any document;

 requiring respondents to retain records, other than health, medical, government contract, 

grant-in-aid, or tax records for more than three years;

 in connection with a statistical survey, that is not designed to produce valid and reliable 

results than can be generalized to the universe of study;

 requiring the use of a statistical data classification that has not been reviewed and 

approved by OMB;

 that includes a pledge of confidentiality that is not supported by authority established in 

statute or regulation, that is not supported by disclosure and data security policies that are 
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consistent with the pledge, or that unnecessarily impedes sharing of data with other 

agencies for compatible confidential use; or

 requiring respondents to submit proprietary trade secrets, or other confidential 

information unless the agency can demonstrate that it has instituted procedures to protect 

the information’s confidentiality to the extent permitted by law.

No information will be collected in the manner covered under any of the special 

circumstances outlined.

8. As applicable, state that the Department has published the 60 and 30 Federal Register notices 

as required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to 

submission to OMB. Summarize public comments received in response to that notice and 

describe actions taken by the agency in response to these comments. Specifically address 

comments received on cost and hour burden.

Describe efforts to consult with persons outside the agency to obtain their views on the 

availability of data, frequency of collection, the clarity of instruction and record keeping, 

disclosure, or reporting format (if any), and on the data elements to be recorded, disclosed, or 

reported.

Consultation with representatives of those from whom information is to be obtained or those 

who must compile records should occur at least once every 3 years – even if the collection of 

information activity is the same as in prior periods. There may be circumstances that may

preclude consultation in a specific situation. These circumstances should be explained.

The Department will publish 60 and 30 day notices in the Federal Register to solicit 

comments on this information collection pursuant to 5CFR#1320.8(d). Summaries of 

report responses will be shared with OMB. In addition, CCAMPIS Program staff 

frequently monitor the small number of currently funded projects via telephone, at 

technical assistance workshops and national meetings, to provide opportunities for 

CCAMPIS project directors to recommend changes to the form.

9. Explain any decision to provide any payment or gift to respondents, other than remuneration 

of contractors or grantees with meaningful justification. 

The Department does not provide any payments or gifts to respondents.

10. Describe any assurance of confidentiality provided to respondents and the basis for the 

assurance in statute, regulation, or agency policy. If personally identifiable information (PII) is 

being collected, a Privacy Act statement should be included on the instrument. Please provide a 
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citation for the Systems of Record Notice and the date a Privacy Impact Assessment was 

completed as indicated on the IC Data Form. A confidentiality statement with a legal citation that 

authorizes the pledge of confidentiality should be provided.2If the collection is subject to the 

Privacy Act, the Privacy Act statement is deemed sufficient with respect to confidentiality. If 

there is no expectation of confidentiality, simply state that the Department makes no pledge 

about the confidentially of the data.

The Department's disclosure policies adhere to the provisions of the Privacy Act.

11. Provide additional justification for any questions of a sensitive nature, such as sexual 

behavior and attitudes, religious beliefs, and other matters that are commonly considered private. 

The justification should include the reasons why the agency considers the questions necessary, 

the specific uses to be made of the information, the explanation to be given to persons from 

whom the information is requested, and any steps to be taken to obtain their consent.

The performance report form does not include questions about sexual behavior and 

attitudes, religious beliefs or other items that are commonly considered sensitive and 

private.

12. Provide estimates of the hour burden of the collection of information. The statement should:

 Indicate the number of respondents by affected public type (federal government, 

individuals or households, private sector – businesses or other for-profit, private 

sector – not-for-profit institutions, farms, state, local or tribal governments), 

frequency of response, annual hour burden, and an explanation of how the burden was 

estimated, including identification of burden type: recordkeeping, reporting or third 

party disclosure. All narrative should be included in item 12. Unless directed to do 

so, agencies should not conduct special surveys to obtain information on which to 

base hour burden estimates. Consultation with a sample (fewer than 10) of potential 

respondents is desirable. If the hour burden on respondents is expected to vary widely 

because of differences in activity, size, or complexity, show the range of estimated 

hour burden, and explain the reasons for the variance. Generally, estimates should 

not include burden hours for customary and usual business practices.

 

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Requests for this information are in accordance with the following ED and OMB policies: Privacy Act of 1974, 

OMB Circular A-108 – Privacy Act Implementation – Guidelines and Responsibilities, OMB Circular A-130 

Appendix I – Federal Agency Responsibilities for Maintaining Records About Individuals, OMB M-03-22 – OMB 

Guidance for Implementing the Privacy Provisions of the E-Government Act of 2002, OMB M-06-15 –

Safeguarding Personally Identifiable Information, OM:6-104 – Privacy Act of 1974 (Collection, Use and Protection 

of Personally Identifiable Information)
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 If this request for approval covers more than one form, provide separate hour burden 

estimates for each form and aggregate the hour burdens in the ROCIS IC Burden 

Analysis Table. (The table should at minimum include Respondent types, IC activity, 

Respondent and Responses, Hours/Response, and Total Hours)

 Provide estimates of annualized cost to respondents of the hour burdens for 

collections of information, identifying and using appropriate wage rate categories. 

The cost of contracting out or paying outside parties for information collection 

activities should not be included here. Instead, this cost should be included in Item 

14.

In an effort to meet the Office of Management and Budget (OMB) mandates to provide 

enhanced results demonstrated information for this program, the estimated report burden 

hours have increased from 7 to 9 hours per respondent. Therefore, the estimated burden 

hours for this collection of information are 9 hours per 89 respondents or 801 total burden 

hours. Burden hours are shown for the total number of estimated respondents for the 

APR.

We estimate approximately 89 respondents x 1 report each for the year 2014-15 APR: 

Estimated number of respondents projected at level funding for the Fiscal Year 2015

program APR: 89 grantees

 

Estimated number of respondents 89

Estimated preparation time 9 hrs

Total estimated burden hours 801

 

(Estimated Burden: 9 hours Total -- Number of hours of preparation time times by the 

total number of respondents equals estimated burden hours.) 

Most of the costs of this data collection are borne by the Federal Government. The annual 

cost to the grantee to respond to this data collection is estimated as follows:

Estimated annual costs to respondents:

Professional

(89 personnel X 9.0 hours @ $40 per hour) $32,040

Total estimated costs to respondents $32,040
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13. Provide an estimate of the total annual cost burden to respondents or record keepers 

resulting from the collection of information. (Do not include the cost of any hour burden shown 

in Items 12 and 14.)

 The cost estimate should be split into two components: (a) a total capital and start-up cost 

component (annualized over its expected useful life); and (b) a total operation and 

maintenance and purchase of services component. The estimates should take into account 

costs associated with generating, maintaining, and disclosing or providing the 

information. Include descriptions of methods used to estimate major cost factors 

including system and technology acquisition, expected useful life of capital equipment, 

the discount rate(s), and the time period over which costs will be incurred. Capital and 

start-up costs include, among other items, preparations for collecting information such as 

purchasing computers and software; monitoring, sampling, drilling and testing 

equipment; and acquiring and maintaining record storage facilities.

 If cost estimates are expected to vary widely, agencies should present ranges of cost 

burdens and explain the reasons for the variance. The cost of contracting out information 

collection services should be a part of this cost burden estimate. In developing cost 

burden estimates, agencies may consult with a sample of respondents (fewer than 10), 

utilize the 60-day pre-OMB submission public comment process and use existing 

economic or regulatory impact analysis associated with the rulemaking containing the 

information collection, as appropriate.

 Generally, estimates should not include purchases of equipment or services, or portions 

thereof, made: (1) prior to October 1, 1995, (2) to achieve regulatory compliance with 

requirements not associated with the information collection, (3) for reasons other than to 

provide information or keep records for the government or (4) as part of customary and 

usual business or private practices. Also, these estimates should not include the hourly

costs (i.e., the monetization of the hours) captured above in Item 12

Total Annualized Capital/Startup Cost : 

Total Annual Costs (O&M) : 

____________________

Total Annualized Costs Requested : 

There are no other costs to the respondents. EDGAR regulations require grantees to 

collect and maintain this information. 

14. Provide estimates of annualized cost to the Federal government. Also, provide a description 

of the method used to estimate cost, which should include quantification of hours, operational 

expenses (such as equipment, overhead, printing, and support staff), and any other expense that 
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would not have been incurred without this collection of information. Agencies also may

aggregate cost estimates from Items 12, 13, and 14 in a single table.

The largest portion of the Government’s cost is borne directly by the Department of 

Education in designing the report form, securing clearance of the form, and in collecting, 

aggregating and disseminating the information.

Estimated annual cost to the Federal Government

Professional staff to develop clearance package

(GS-13/14 employee) 40 hrs @ $44.00 per hour $1,760.00

Overhead cost related to facilities, administration, and other 

indirect costs plus accrual of leave and fringe benefits @ 50% of

salary of $1,760 $880.00

Clerical staff to type, route, and copy report form

$20 per hour X 5 hours

Overhead costs: $100 X 50 percent of salary

$100.00

$50.00

Other Department staff to review and approve the request:

(GS 15 employee) $56 per hour X 8 hours = $448.00

(GS 13/14 employee) $44 per hour X 20 hours = $880.00

Overhead costs: $1,328.00 X 50 percent = $664.00 $1,992.00

Other Administrative Costs

Posting annual performance report to World Wide Web

(2 hours X 1 staff @ $40 per hour) $80.00

Professional staff to review and edit reports for dissemination

$50 per hour X 40 hours = $2,000.00

Overhead costs: $2,000.00 X 50 percent = $1,000

$2,000.00

$1,000.00

Total Annual Government Cost

$7,862.00

15. Explain the reasons for any program changes or adjustments. Generally, adjustments in 

burden result from re-estimating burden and/or from economic phenomenon outside of an 

agency’s control (e.g., correcting a burden estimate or an organic increase in the size of the 

reporting universe). Program changes result from a deliberate action that materially changes a 

collection of information and generally are result of new statute or an agency action (e.g., 

changing a form, revising regulations, redefining the respondent universe, etc.). Burden changes 

should be disaggregated by type of change (i.e., adjustment, program change due to new statute, 

and/or program change due to agency discretion), type of collection (new, revision, extension, 
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reinstatement with change, reinstatement without change) and include totals for changes in 

burden hours, responses and costs (if applicable).

The total 270-burden hour decrease is an adjustment due to fluctuations in the number of 

CCAMPIS grantees. That is, sixty-four grantees will have completed their awards/grant 

cycles by the time of submission to the Department in 2015, resulting in 89 total 

respondents. In accordance with program legislation, CCAMPIS awards made to 

institutions of higher education (IHE) may not exceed 1-percent of the total amount of all 

Federal Pell Grant funds awarded to students enrolled at the institution of higher 

education for the preceding fiscal year. Applicants awarded during the 2013 competition 

demonstrated higher PELL awards and distributions to students based upon legislative 

increases in PELL to IHE. The increased award amounts thereby diminished the number 

of funded successful applicants under the 2013 competition. Further, the total burden 

hours are reflective of additional queries that have been added to the APR to capture 

more specific data needed to enhance the understanding of results demonstrated by this 

program. 

16. For collections of information whose results will be published, outline plans for tabulation 

and publication. Address any complex analytical techniques that will be used. Provide the time 

schedule for the entire project, including beginning and ending dates of the collection of 

information, completion of report, publication dates, and other actions.

The aggregated report data includes the following types of information: (1) project 

participants’ demographics; (2) description of project services; and (3) project outcomes 

(i.e., postsecondary enrollment, persistence and graduation). The purpose of these reports 

is to comply with statutory requirements and goals and to share national information on 

the CCAMPIS Program with project staff and the larger education community. 

The Department’s Office of Planning, Evaluation and Policy Development may also use 

the data collected to supplement other data collection efforts relative to the CCAMPIS 

Program.

17. If seeking approval to not display the expiration date for OMB approval of the information 

collection, explain the reasons that display would be inappropriate.

The Department will display on the form the expiration date for the OMB approval as 

required.

18. Explain each exception to the certification statement identified in the Certification of 

Paperwork Reduction Act.

There are no exceptions to the certification statement.
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Attachment: Authorizing Statute
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USC › Title 20 › Chapter 28 › Subchapter IV › Part A › Subpart 7 › § 1070

20 USC § 1070e - Child care access means parents in school

(a) Purpose 

The purpose of this section is to support the participation of low-income parents in 

postsecondary education through the provision of campus-based child care services. 

(b) Program authorized 

(1) Authority 

The Secretary may award grants to institutions of higher education to assist the institutions in 

providing campus-based child care services to low-income students. 

(2) Amount of grants 

(A) In general 

The amount of a grant awarded to an institution of higher education under this section for a fiscal 

year shall not exceed 1 percent of the total amount of all Federal Pell Grant funds awarded to 

students enrolled at the institution of higher education for the preceding fiscal year. 

(B) Minimum 

(i) In general Except as provided in clause (ii), a grant under this section shall be awarded in an 

amount that is not less than $10,000. 

(ii) Increase trigger For any fiscal year for which the amount appropriated under the authority of 

subsection (g) is equal to or greater than $20,000,000, a grant under this section shall be awarded 

in an amount that is not less than $30,000. 

(3) Duration; renewal; and payments 

(A) Duration 

The Secretary shall award a grant under this section for a period of 4 years. 

(B) Payments 

Subject to subsection (e)(2) of this section, the Secretary shall make annual grant payments 

under this section. 
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(4) Eligible institutions 

An institution of higher education shall be eligible to receive a grant under this section for a 

fiscal year if the total amount of all Federal Pell Grant funds awarded to students enrolled at the 

institution of higher education for the preceding fiscal year equals or exceeds $350,000, except 

that for any fiscal year for which the amount appropriated to carry out this section is equal to or 

greater than $20,000,000, this sentence shall be applied by substituting “$250,000” for 

“$350,000”. 

(5) Use of funds 

Grant funds under this section shall be used by an institution of higher education to support or 

establish a campus-based child care program primarily serving the needs of low-income students 

enrolled at the institution of higher education. Grant funds under this section may be used to 

provide before and after school services to the extent necessary to enable low-income students 

enrolled at the institution of higher education to pursue postsecondary education. 

(6) Construction 

Nothing in this section shall be construed to prohibit an institution of higher education that 

receives grant funds under this section from serving the child care needs of the community 

served by the institution. 

(7) Definition of low-income student 

For the purpose of this section, the term “low-income student” means a student—

(A) who is eligible to receive a Federal Pell Grant for the award year for which the determination 

is made; or 

(B) who would otherwise be eligible to receive a Federal Pell Grant for the award year for which 

the determination is made, except that the student fails to meet the requirements of—

(i) section 1070a (c)(1) of this title because the student is enrolled in a graduate or first 

professional course of study; or 

(ii) section 1091 (a)(5) of this title because the student is in the United States for a temporary

purpose. 

(8) Publicity
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The Secretary shall publicize the availability of grants under this section in appropriate 

periodicals, in addition to publication in the Federal Register, and shall inform appropriate 

educational organizations of such availability. 

(c) Applications 

An institution of higher education desiring a grant under this section shall submit an application 

to the Secretary at such time, in such manner, and accompanied by such information as the 

Secretary may require. Each application shall—

(1) demonstrate that the institution is an eligible institution described in subsection (b)(4) of this 

section; 

(2) specify the amount of funds requested; 

(3) demonstrate the need of low-income students at the institution for campus-based child care 

services by including in the application—

(A) information regarding student demographics; 

(B) an assessment of child care capacity on or near campus; 

(C) information regarding the existence of waiting lists for existing child care; 

(D) information regarding additional needs created by concentrations of poverty or by

geographic isolation; and 

(E) other relevant data; 

(4) contain a description of the activities to be assisted, including whether the grant funds will 

support an existing child care program or a new child care program; 

(5) identify the resources, including technical expertise and financial support, the institution will 

draw upon to support the child care program and the participation of low-income students in the 

program, such as accessing social services funding, using student activity fees to help pay the 

costs of child care, using resources obtained by meeting the needs of parents who are not lowincome students, and accessing foundation, corporate or other institutional support, and 

demonstrate that the use of the resources will not result in increases in student tuition; 

(6) contain an assurance that the institution will meet the child care needs of low-income 

students through the provision of services, or through a contract for the provision of services; 
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(7) describe the extent to which the child care program will coordinate with the institution’s early

childhood education curriculum, to the extent the curriculum is available, to meet the needs of 

the students in the early childhood education program at the institution, and the needs of the 

parents and children participating in the child care program assisted under this section; 

(8) in the case of an institution seeking assistance for a new child care program—

(A) provide a timeline, covering the period from receipt of the grant through the provision of the 

child care services, delineating the specific steps the institution will take to achieve the goal of 

providing low-income students with child care services; 

(B) specify any measures the institution will take to assist low-income students with child care 

during the period before the institution provides child care services; and 

(C) include a plan for identifying resources needed for the child care services, including space in 

which to provide child care services, and technical assistance if necessary; 

(9) contain an assurance that any child care facility assisted under this section will meet the 

applicable State or local government licensing, certification, approval, or registration 

requirements; and 

(10) contain a plan for any child care facility assisted under this section to become accredited 

within 3 years of the date the institution first receives assistance under this section. 

(d) Priority

The Secretary shall give priority in awarding grants under this section to institutions of higher 

education that submit applications describing programs that—

(1) leverage significant local or institutional resources, including in-kind contributions, to 

support the activities assisted under this section; and 

(2) utilize a sliding fee scale for child care services provided under this section in order to 

support a high number of low-income parents pursuing postsecondary education at the 

institution. 
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(e) Reporting requirements; continuing eligibility

(1) Reporting requirements 

(A) Reports 

Each institution of higher education receiving a grant under this section shall report to the 

Secretary annually. 

(B) Contents 

The report shall include—

(i) data on the population served under this section; 

(ii) information on campus and community resources and funding used to help low-income 

students access child care services; 

(iii) information on progress made toward accreditation of any child care facility; and 

(iv) information on the impact of the grant on the quality, availability, and affordability of 

campus-based child care services. 

(2) Continuing eligibility 

The Secretary shall make continuation awards under this section to an institution of higher 

education only if the Secretary determines, on the basis of the reports submitted under paragraph 

(1), that the institution is making a good faith effort to ensure that low-income students at the 

institution have access to affordable, quality child care services. 

(f) Construction 

No funds provided under this section shall be used for construction, except for minor renovation 

or repair to meet applicable State or local health or safety requirements. 

(g) Authorization of appropriations 

There are authorized to be appropriated to carry out this section such sums as may be necessary

for fiscal year 2009 and each of the five succeeding fiscal years.