OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Cascades Job Corps College and Career Academy Pilot Evaluation

ICR 201609-1290-001 · OMB 1290-0012 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
CJC SupportDoc_Postcard_10-17-16.pdf Supplementary Document Uploaded 2016-10-20 Available
CJC SupportDoc_BIF Screenshots 10-17-16.docx Supplementary Document Uploaded 2016-10-20 Repair queued
JC Cascades OMB Package Supporting Statement Part A 11-28-16.docx Supporting Statement A Uploaded 2016-11-28 Available
CJC SupportDoc_ Informed Consent Form_Parent 10-17-16.docx Supplementary Document Uploaded 2016-10-20 Repair queued
CJC SupportDoc_Informed Consent Form_Applicant 10-17-16.docx Supplementary Document Uploaded 2016-10-20 Available
CJC SupportDoc_Youth Assent Form 10-17-16.docx Supplementary Document Uploaded 2016-10-20 Repair queued
Job Corps Cascades FRN Comments.pdf Supplementary Document Uploaded 2016-09-07 Available
job corps cascades part B review signoff.pdf Supplementary Document Uploaded 2016-09-07 Available
60 day FRN.pdf Supplementary Document Uploaded 2016-09-02 Available
JC Cascades OMB Package Supporting Statement Part B 11-28-16.docx Supporting Statement B Uploaded 2016-11-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
223432 Follow-up Tracking Form Other-tracking from New
223431 Interview Protocol – Student Focus Group Other-focus group protocol New
223430 Interview Protocol – Other Center Directors Other-interview protocol New
223429 Interview Protocol - Employer Calls Other-interview protocol New
223428 Interview Protocol – Skagit Valley College Liaison and Sedro-Wooley School District Liaison Other-Interview protocol New
223427 Interview Protocol – Social Development Director Other-Interview protocol New
223426 Interview Protocol – IT Pathway Manager and Healthcare Pathway Manager Other-Interview protocol New
223363 Interview Protocol – Admission and Placement Director and Placement Officer Other-interview protocol New
223362 Interview Protocol – Academy Director, College and Career Dean, and College Preparation Manager Other-Interview protocol New
223359 Baseline Information Form Other-null New
ICR Details
1290-0012 201609-1290-001
Historical Active
DOL/OS
Cascades Job Corps College and Career Academy Pilot Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/06/2017
Retrieve Notice of Action (NOA) 12/05/2016
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
1,852 0 0
372 0 0
0 0 0
This ICR supports an impact and implementation evaluation of the Cascades Job Corps College and Career Academy Pilot program. More specifically, this ICR is the first in a series of requests that correspond to an array of data collection activities for the evaluation of the CCCA pilot. The OASP seeks approval in this submission for: (1) a baseline information form to support the impact study, (2) tracking data to support the planned 18-month follow-up survey, and (3) stakeholder interview and student focus group discussion guides to support the implementation study.
US Code: 29 USC 3224 Name of Law: Workforce Innovation and Opportunity Act
  
None
Not associated with rulemaking
  81 FR 41598 06/27/2016
81 FR 87082 12/02/2016
Yes
  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 1,852 0 0 1,852 0 0
Annual Time Burden (Hours) 372 0 0 372 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is new information collection.
$233,184
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Irwin 202 693-5091 [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.
12/05/2016