OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201305-0970-006 · OMB 0970-0413 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
STED-ETJD Supporting Statement Part B May 2013 Revision Final.docx Supporting Statement B Uploaded 2013-05-13 Available
STED Young Adult to Adult Survey Comparison May 2013.docx Supplementary Document Uploaded 2013-05-13 Available
Appendix_B.1_Informed Consent Revised May 2013 Final.docx Supplementary Document Uploaded 2013-05-13 Repair queued
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Available
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Repair queued
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Repair queued
STED-ETJD Supporting Statement Part A May 2013 Revision Final.docx Supporting Statement A Uploaded 2013-05-13 Available
IC Document Collections
IC IDCollectionTypeStatusForm
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
0970-0413 201305-0970-006
Historical Active 201210-0970-001
HHS/ACF 19600
Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)
Revision of a currently approved collection   No
Regular
Approved without change 08/06/2013
Retrieve Notice of Action (NOA) 05/23/2013
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 10/31/2015
16,187 0 16,187
4,393 0 4,393
0 0 0
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.
PL: Pub.L. 74 - 271 413 Name of Law: Social Security Act; Research, Evaluations and National Studies
  
None
Not associated with rulemaking
  78 FR 16509 03/15/2013
78 FR 29140 05/17/2013
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 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
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
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.
$7,968,517
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.
05/23/2013