Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)

Forms and Documents

Document Name	Status
STED-ETJD Supporting Statement Part B May 2013 Revision Final.docx Supporting Statement B	2013-05-13
STED Young Adult to Adult Survey Comparison May 2013.docx Supplementary Document	2013-05-13
Appendix_B.1_Informed Consent Revised May 2013 Final.docx Supplementary Document	2013-05-13
Appendix_J_Interview Guides_26APR12.doc Supplementary Document	2012-05-03
Appendix_J_Interview Guides_26APR12.doc Supplementary Document	2012-05-03
Appendix_J_Interview Guides_26APR12.doc Supplementary Document	2012-05-03
STED-ETJD Supporting Statement Part A May 2013 Revision Final.docx Supporting Statement A	2013-05-13

IC Document Collections

IC ID	Document Title	Status
207067	Participant 12-month survey (Young Adult sites) Other-Survey	New
207066	Participant 6-month survey (Young Adult sites) Other-Survey	New
202240	Program Staff Time-Use Worksheet Other-Staff-Use Worksheet	Modified
202239	Referral Partner Interview Guides Other-Referral Partners Interview Guides	Modified
202238	Employer Interview Guides Other-Employer Interview Guides	Modified
202237	Program Staff Cost Data Collection Protocol Other-Protocol	Modified
202236	Program Staff Interview Guides Other-Program Staff Interview Guides	Modified
202235	Employer Implementation Questionnaire Other-Employer Implementation Questionnaire	Modified
202234	Worksite Supervisor Implementation Questionnaire Other-Worksite Supervisor Implementation Questionnaire	Modified
202233	Program Staff Implementation Questionnaire Other-Program Staff Implementation Questionnaire	Modified
202232	Participant Focus Group Discussion Guide Other-Focus Group Guide	Modified
202231	Participant Implementation Questionnaire Other-Questionnaire	Modified
202230	Participant 12-month survey (Adult sites) Other-12 Month Follow-Up	Modified
202229	Participant 6-month survey (Adult sites) Other-6-month survey	Modified
202228	Participant ETJD tracking letters Other-Tracking Letters	Modified
202227	Participant STED tracking letters Other-Tracking Letters	Modified
202226	Participant Baseline Information Form Other-BIF	Modified
202225	Participant Contact Information Form Other-Contact Info Form	Modified

ICR Details

OMB Control No: 0970-0413	ICR Reference No: 201305-0970-006
Status: Historical Active	Previous ICR Reference No: 201210-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: 19600
Title: Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/06/2013
	Date Received in OIRA: 05/23/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved	10/31/2015
Responses	16,187	0	16,187
Time Burden (Hours)	4,393	0	4,393
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for a revision to the approved package, to include alternate survey instruments, which were developed for the youth/young adult STED sites. All changes from the original approved package are highlighted throughout the supporting statements.

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Authorizing Statute(s): PL: Pub.L. 74 - 271 413 Name of Law: Social Security Act; Research, Evaluations and National Studies
  

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:
	78 FR 16509	03/15/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 29140	05/17/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

IC Title	Form No.	Form Name
Participant 6-month survey (Adult sites)
Participant 12-month survey (Adult sites)
Participant Implementation Questionnaire
Participant Focus Group Discussion Guide
Program Staff Implementation Questionnaire
Worksite Supervisor Implementation Questionnaire
Employer Implementation Questionnaire
Participant 6-month survey (Young Adult sites)
Participant Contact Information Form
Participant Baseline Information Form
Participant STED tracking letters
Participant ETJD tracking letters
Program Staff Interview Guides
Program Staff Cost Data Collection Protocol
Employer Interview Guides
Referral Partner Interview Guides
Program Staff Time-Use Worksheet
Participant 12-month survey (Young Adult sites)

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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	16,187	16,187	0	0	0	0
Annual Time Burden (Hours)	4,393	4,393	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision includes survey instruments to be administered to young adults. The change reallocates a portion of already approved burden for 6- and 12- month surveys to those specific to young adults. Therefore, overall burden remains the same.

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Annual Cost to Federal Government: $7,968,517

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? 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

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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: 05/23/2013

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