Supplemental Justification Supporting Statement for Add Us In Evaluation

OMB Control No. 1225-0059

Expiration Date: 01/31/2016

ABBREVIATED SUPPORTING STATEMENT

CLEARANCE FORM

A. SUPPLEMENTAL SUPPORTING STATEMENT

A.1. Title: Add Us In Evaluation

A.2. Compliance with 5 CFR 1320.5:

Yes __X_ No _____

A.3. Assurances of confidentiality: Yes. Privacy of respondents will be assured.

A.4. Federal cost:

Data Collection $20,000

Data Analysis $15,000

TOTAL: $35,000

A.5. Requested expiration date (Month/Year):

October, 2014

A.6. Burden Hour estimates:

a. Number of Respondents:	80
a.1. % Received Electronically	100
b. Frequency	1
c. Average Response Time	15 min
d. Total Annual Burden Hours	20

A7. Does the collection of information employ statistical methods?

_____ No

__X _ Yes (Complete Section B and attach BLS review sheet).

A.8 Abstract:

The nation’s small businesses provide employment for many workers, even during economic downturns or slowdowns. Add Us In (AUI) grantees seek to increase the number of people with disabilities employed by small businesses by collaborating and coordinating with businesses, including those in underrepresented and historically excluded communities. AUI grantees also seek to implement strategies to increase the capacities of these targeted businesses to provide integrated employment opportunities for people with disabilities. The Office of Disability Employment Policy (ODEP) in the Department of Labor (DOL) has contracted with IMPAQ International, LLC, to study evidence of systems change using a web-based customer satisfaction survey. The purpose of this survey instrument is to gauge the satisfaction of consortium participants in ODEP’s AUI grant in the area of engagement. Data from this survey is to be included in an overall assessment of grantees’ systems change efforts in light of the AUI objectives. These objectives focus on replicable and sustainable policies and practices that encourage employers’ recognition and use of the vast talent pool composed of PWD. The AUI objectives seek to facilitate the necessary change through better coordination of services and policies.

AUI Customer Satisfaction Survey

IMPAQ will work with the grantees to administer the customer satisfaction survey. Respondents will include members of the workforce system that are new partners to the grantee since beginning AUI. These respondents will be selected by grantees. A purposive sample is appropriate for this research component, because we are looking for exemplary grantee/partner engagement. We will ask the survey respondents about the level, type, and quality of their engagement with the AUI grantee. We expect an 80% response rate. The survey instrument has been developed collaboratively with ODEP, and tested in-house.

This data collection will not duplicate any information currently collected. Identifiers used in surveys will not be included in published reports nor otherwise revealed to anyone not directly involved in the information collection.

Date

Departmental Clearance Officer

Date