OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201405-0970-001 · OMB 0970-0413 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Appendix T STED_ETJD 30 Month Overview.docx Supplementary Document Uploaded 2014-05-06 Available
STED-ETJD Supporting Statement Part B - Updated August 2014 - Final.docx Supporting Statement B Uploaded 2014-09-02 Available
STED Young Adult to Adult Survey Comparison May 2013.docx Supplementary Document Uploaded 2013-05-13 Repair queued
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 Repair queued
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 - Updated August 2014 - Clean.docx Supporting Statement A Uploaded 2014-09-02 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
211534 Appendix U Participant 30-month survey New
207067 Participant 12-month survey (Young Adult sites) Other-Survey Modified
207066 Participant 6-month survey (Young Adult sites) Other-Survey Modified
202240 Program Staff Time-Use Worksheet Other-Staff-Use Worksheet Unchanged
202239 Referral Partner Interview Guides Other-Referral Partners Interview Guides Unchanged
202238 Employer Interview Guides Other-Employer Interview Guides Unchanged
202237 Program Staff Cost Data Collection Protocol Other-Protocol Unchanged
202236 Program Staff Interview Guides Other-Program Staff Interview Guides Unchanged
202235 Employer Implementation Questionnaire Other-Employer Implementation Questionnaire Unchanged
202234 Worksite Supervisor Implementation Questionnaire Other-Worksite Supervisor Implementation Questionnaire Unchanged
202233 Program Staff Implementation Questionnaire Other-Program Staff Implementation Questionnaire Unchanged
202232 Participant Focus Group Discussion Guide Other-Focus Group Guide Unchanged
202231 Participant Implementation Questionnaire Other-Questionnaire Unchanged
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 Unchanged
202227 Participant STED tracking letters Other-Tracking Letters Modified
202226 Participant Baseline Information Form Other-BIF Unchanged
202225 Participant Contact Information Form Other-Contact Info Form Unchanged
ICR Details
0970-0413 201405-0970-001
Historical Active 201305-0970-006
HHS/ACF 19600
Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)
Revision of a currently approved collection   No
Regular
Approved with change 09/03/2014
Retrieve Notice of Action (NOA) 06/03/2014
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 08/31/2016
22,475 0 16,187
7,006 0 4,393
0 0 0
This request is for a revision to the approved package, to include a 30-month follow-up survey and an update to the number of respondents to previously approved instruments. The updated number of respondents is based on actual recruitment experiences since the initial approval.
PL: Pub.L. 74 - 271 413 Name of Law: Social Security Act; Research, Evaluations and National Studies
  
None
Not associated with rulemaking
  79 FR 17547 03/28/2014
79 FR 31115 05/30/2014
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 22,475 16,187 0 3,947 2,341 0
Annual Time Burden (Hours) 7,006 4,393 0 1,974 639 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden changes are due to an additional information collection request (30 month follow-up survey) and to adjustments in estimated numbers of respondents since specific sites were recruited.
$6,682,551
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Buck 202 205-4724 [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.
06/03/2014