OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Enhanced Services for the Hard-to-Employ (HtE) Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection

ICR 200708-0970-004 · OMB 0970-0332 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
HtE KS-MO 36M_App A_Videotape Consent Form FINAL.doc Supplementary Document Uploaded 2007-11-08 Repair queued
H2E KS-MO 36M_Responses to OMB Questions_10-26-07 (2).doc Supplementary Document Uploaded 2007-11-08 Repair queued
OMB HtE KS-MO_36M Supp Statement-Part B.doc Supporting Statement B Uploaded 2007-07-16 Available
HtE KCMO 36 month abstract.doc Supplementary Document Uploaded 2007-07-16 Available
Kansas and Missouri 36-Month Data Collection, 2nd Notice.doc Supplementary Document Uploaded 2007-07-12 Repair queued
OMB HtE KS-MO_36M Supp Statement- Part A FINAL.doc Supporting Statement A Uploaded 2007-11-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181683 Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection -- Child Survey Other-Child Instrument New
181682 Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection -- Parent Survey Other-Survey Instrument New
ICR Details
0970-0332 200708-0970-004
Historical Active
HHS/ACF
Enhanced Services for the Hard-to-Employ (HtE) Demonstration and Evaluation: Kansas and Missouri 36-Month Data Collection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/13/2007
Retrieve Notice of Action (NOA) 08/15/2007
This ICR is approved on the understanding that ACF will provide as incentives to 3-6 year old children a non-monetary incentive not to exceed $5. Also, ACF agrees to not provide assurances of confidentiality because ACF does not have stautory authority to do so.
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
976 0 0
610 0 0
0 0 0
See attachment.
PL: Pub.L. 42 - 613 413 Name of Law: Social Security Act
  
None
Not associated with rulemaking
  72 FR 14578 03/27/2007
72 FR 33761 06/19/2007
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 976 0 0 976 0 0
Annual Time Burden (Hours) 610 0 0 610 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is the 36 month follow up survey as part of a multi-site, random-assignment evaluation. Previous surveys were conducted at baseline and 12 months after random assignment.
$350,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Brendan Kelly 2024015695
  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.
08/15/2007