OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Understanding the Dynamics of Disconnection from Employment and Assistance

ICR 201212-0970-004 · OMB 0970-0434 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Dynamics of Disconnection OMB Package Part B REVISED.doc Supporting Statement B Uploaded 2013-04-23 Available
Appendix G - Certificate of Approval from Institutional Review Board (IRB) of the Urban Institute.pdf Supplementary Document Uploaded 2012-12-11 Repair queued
Appendix F - The Urban Institute Staff Confidentiality Pledge.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix C - Review of Evidence on Disconnection.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix E - Understanding Disconnection From Employment and Assistance Expert Roundtable Participants.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix B-2 - Recruitment Letter - Michigan Site REV.docx Supplementary Document Uploaded 2013-04-23 Available
Appendix B-1S - Advertisement Flyer (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix B-1 - Advertisement Flyer - Los Angeles Site REV.docx Supplementary Document Uploaded 2013-04-23 Available
Appendix A-9S - Conversation Guide (Spanish).docx Supplementary Document Uploaded 2012-12-11 Repair queued
Appendix A-6S - Consent Form for Linking Data (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix A-5S - Receipt of Payment Form (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix A-4S - Consent Form For Interviews (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Repair queued
Appendix A-3S - Follow-up Telephone Script to Schedule Interviews (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Available
Appendix A-2S - Telephone Recruitment Script and Screener (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Repair queued
Appendix A-1S - Advertisement Script (Spanish) - Los Angeles Site.docx Supplementary Document Uploaded 2012-12-11 Available
Dynamics of Disconnection OMB Package Part A REVISED updated 4-18-13.doc Supporting Statement A Uploaded 2013-04-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
205139 Conversation Guide Other-Discussion Guide New
205138 Consent Form for Interviews - Michigan Site Other-Consent New
205137 Appendix A-7 - Telephone Recruitment Script and Screener - Michigan Site Other-Recruitment/Screener New
205136 Consent Form for Linking Data - Los Angeles Site Other-Consent New
205135 Receipt of Payment Form - Los Angeles Site Other-Receipt Payment New
205134 Consent Form For Interviews - Los Angeles Site Other-Consent New
205133 Follow-up Telephone Script to Schedule Interviews Other-Recruitment New
205132 Telephone Recruitment Script and Screener - Los Angeles Site Other-Screening Material New
205131 Advertisement Script - Los Angeles Site Other-Recruitment Materials New
ICR Details
0970-0434 201212-0970-004
Historical Active
HHS/ACF
Understanding the Dynamics of Disconnection from Employment and Assistance
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/23/2013
Retrieve Notice of Action (NOA) 12/17/2012
  Inventory as of this Action Requested Previously Approved
04/30/2014 12 Months From Approved
675 0 0
182 0 0
0 0 0
The Office of Planning, Research and Evaluation (OPRE) desires to enhance its knowledge about the characteristics, circumstances and well-being of this disconnected population and to develop hypotheses for potential future research. In-depth discussions with disconnected mothers will contribute to improved understanding of specific reasons for their unemployment and lack of assistance, families' coping strategies, and families' perspectives on pathways out of disconnection.
US Code: 42 USC 613 Name of Law: Social Security Act: Research, Evaluations, and National Studies
  
None
Not associated with rulemaking
  77 FR 10533 02/22/2012
77 FR 74666 12/17/2012
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 675 0 0 675 0 0
Annual Time Burden (Hours) 182 0 0 182 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$145,526
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Steve Hanmer 202 401-5651 [email protected]
  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.
12/17/2012