OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

Forms and Documents

Document Name	Status
LifeSet NonSub Change Request Memo_Coginitive Test Updates_10.12.21.docx Justification for No Material/Nonsubstantive Change	2021-10-12
Appendices J-L in-person – clean.docx Supplementary Document	2021-08-16
Appendices A-I in-person_2021_10_12 - clean.docx Supplementary Document	2021-10-12
Appendix M IRB Approval Letter.pdf Supplementary Document	2021-06-21
Appendix J- L virtual only (clean).docx Supplementary Document	2021-08-16
Appendix A-I virtual only_2021_10_12- clean.docx Supplementary Document	2021-10-12
Supporting Statement B - LifeSet - NonSub_Clean.docx Supporting Statement B	2021-10-12
Supporting Statement A - LifeSet - NonSub_Clean.docx Supporting Statement A	2021-10-12

IC Document Collections

IC ID	Document Title	Status
247982	Instrument 5 - Site Visit 2 Interview Guide for Administrators Other-Interview Guide	Unchanged
247981	Instrument 4 - Site Visit 2 Focus Group Guide for Staff Other-Focus Group	Unchanged
247980	Instrument 3- Site Visit 1 Interview Guide for Administrators Other-Interview Guide	Unchanged
247979	Instrument 2- Administrative Data File Other-Admin data list	Unchanged
247978	Instrument 1- Baseline Youth Survey Other-Survey	Modified

ICR Details

OMB Control No: 0970-0577	ICR Reference No: 202110-0970-003
Status: Received in OIRA	Previous ICR Reference No: 202106-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/12/2021

	Requested	Previously Approved
Expiration Date	09/30/2024	09/30/2024
Responses	222	222
Time Burden (Hours)	160	160
Cost Burden (Dollars)	0	0

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Abstract: LifeSet is a therapeutic case management program that provides youth and young adults leaving foster care, juvenile justice, and mental health systems with the intensive in-home support and guidance they need in the transition to adulthood. The current LifeSet evaluation has two main components: an impact study to assess the effects of program participation on outcomes of interest and an implementation study to describe and document how LifeSet is implemented in New Jersey. The study is intended to contribute to the evidence base on program models that support young adults in the transition out of foster care. Project activities for the impact study include three waves of youth surveys and collection of administrative and program data. Project activities for the implementation study include interviews and focus groups with key staff and study youth. To date, the team has completed cognitive testing of the young adult study consent form (Appendix A) as discussed in Supporting Statement B4. The team has also begun random assignment of youth though no data has been collected. In response to findings from the cognitive testing of the young adult consent form, we are requesting non-substantive changes to the baseline youth survey (Instrument 1), young adult consent form (Appendix A), youth assent form (Appendix B), and study fact sheets (Appendix E). These non-substantive changes will ensure that impact study participants are able to understand the informed consent materials. The proposed changes do not alter the purpose of the data collection, the expected uses of the data, nor the burden estimates as approved by OMB in September 2021.

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Authorizing Statute(s): US Code: 42 USC 677 Name of Law: John H. Chafee Foster Care Program for Successful Transition to Adulthood
  

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:
	86 FR 19892	04/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33302	06/24/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Instrument 1- Baseline Youth Survey
Instrument 2- Administrative Data File
Instrument 3- Site Visit 1 Interview Guide for Administrators
Instrument 4 - Site Visit 2 Focus Group Guide for Staff
Instrument 5 - Site Visit 2 Interview Guide for Administrators

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ICR Summary of Burden

	Total Request	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	222	222	0	0	0	0
Annual Time Burden (Hours)	160	160	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:

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Annual Cost to Federal Government: $529,300

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.     Yes

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? No

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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: 10/12/2021

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