Information Collection Request

Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)

ICR 201802-0970-001 · OMB 0970-0462 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment O_ResearchQuestions for Previously Approved National and Tribal Evaluation Efforts.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment N_HPOG2.0_Short-Term Followup Short-Term Survey_ Email Remind_revised_010918_clean.docx Supplementary Document Uploaded 2018-02-01 Available
Attachment M_HPOG 2.0_Short-Term Survey Flyer 01092018.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment L_HPOG 2.0 Short-Term Followup Followup Survey Sources_Rev_121217_Clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment K_HPOG2.0_Short-Term Followup Survey Advance Letter_Rev_01092018_Clean.docx Supplementary Document Uploaded 2018-02-01 Repair queued
Memo to OMB RE_Contact Update Form_05302017_Revised_07-11-17_CLEAN.DOCX Justification for No Material/Nonsubstantive Change Uploaded 2017-07-12 Repair queued
Attachment K_HPOG 2 0 Incentive Communications_Email and Letter_071117 CLEAN.docx Supplementary Document Uploaded 2017-07-12 Repair queued
Attachment J_Interview Verbal Informed Consent Form.docx Supplementary Document Uploaded 2016-10-24 Available
Attachment I_Focus Group Informed Consent Form.doc Supplementary Document Uploaded 2016-10-24 Available
Attachment H_HPOG- Model.pptx Supplementary Document Uploaded 2016-10-24 Repair queued
Attachment B3_Tribal Evaluation Informed Consent Form B (Unique Identifiers).docx Supplementary Document Uploaded 2016-06-16 Repair queued
Attachment B2_Tribal Evaluation Informed Consent Form A (SSNs).docx Supplementary Document Uploaded 2016-06-16 Available
Attachment B_Approved non-tribal, adult lottery not required consent form.docx Supplementary Document Uploaded 2016-06-16 Available
HPOG2 Supporting Statement_Updated Part A_June 2016 - TRACK CHANGES.docx Supplementary Document Uploaded 2016-06-16 Available
Memo to OMB RE_Revised Consent Forms for Tribal Study_06 15 16.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-06-16 Repair queued
Memo to OMB RE_Revised Consent Forms 011116_v3.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-01-26 Available
Attachment A_References_Revised 09 02 16.docx Supplementary Document Uploaded 2016-10-24 Available
Attachment G. Contact Update Letter and Form.docx Supplementary Document Uploaded 2015-05-11 Available
HPOG 2.0_Supporting Statement PartB_Rev_010918_Clean.docx Supporting Statement B Uploaded 2018-02-01 Available
HPOG 2.0_Supporting Statement Part A_Rev_010918_020118_clean.docx Supporting Statement A Uploaded 2018-02-01 Available
Attachment F. First Round of HPOG Grantees Ressearch Portfolio_4.28.15.docx Supplementary Document Uploaded 2015-05-06 Available
FINAL updated Attachment E PPR Data List and Mockup 8 4 15 clean.docx Supplementary Document Uploaded 2015-08-05 Repair queued
Attachment D. Sources and Justification_5.4.15.docx Supplementary Document Uploaded 2015-05-06 Available
Attachment C_HPOG 2.0 15 mos follow up - 60 Day FRN_8.30.17.pdf Supplementary Document Uploaded 2018-02-01 Repair queued
Attachment B. Informed Consent Forms_01.25.16 clean.docx Supplementary Document Uploaded 2016-01-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
229940 Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation Other-Survey New
229938 *NOT NEW* Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form Other-Update Form New
224119 Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews Other-Interview Unchanged
224118 Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews Other-Interview Unchanged
224113 Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups Other-Focus Group Unchanged
224112 Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews Other-Interview Unchanged
224110 Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews Other-Interview Unchanged
224107 Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews Other-Interview Unchanged
224101 Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms Other-Welcome Packet Modified
224098 Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews Other-Interview Unchanged
224096 Instrument 3: HPOG 2.0 National Evaluation first-round telephone interviews with management, staff, partners, and staffstakeholders Other-Interview Removed
224093 Instrument 2: Screening Interview to identify respondents for the HPOG 2.0 National Evaluation first-round telephone interviews Other-Screening Interview Removed
216432 PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Other-Data collection System Modified
216431 PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Other-Data collection System Modified
216430 PAGES Grantee- and Participant-Level Data Collection (all grantees) Other-Data collection System Modified
ICR Details
0970-0462 201802-0970-001
Historical Active 201707-0970-001
HHS/ACF
Evaluation and System Design for Career Pathways Programs: 2nd Generation of HPOG (HPOG Next Gen Design)
Revision of a currently approved collection   No
Regular
Approved without change 06/08/2018
Retrieve Notice of Action (NOA) 02/05/2018
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved 06/30/2020
31,274 0 30,014
11,005 0 8,590
0 0 0

The ACF Office of Planning, Research and Evaluation (OPRE) has developed a multi-pronged research and evaluation portfolio for the HPOG 2.0 Program to better understand and assess the activities conducted and their results. This submission is in support of two components of the evaluation portfolio, the HPOG 2.0 National Evaluation and HPOG 2.0 Tribal Evaluation. OMB has previously approved several information collection requests under OMB Control Number 0970-0462 in support of both the National and Tribal evaluations. Under this information collect request, ACF seeks approval for the National Evaluation impact study’s Short-Term Follow-up Survey, to be conducted 15 months after randomization.

PL: Pub.L. 111 - 148 5507 , sec. 2008, (a)(3)(B) Name of Law: Patient Protection and Affordable Care Act
  
None

Not associated with rulemaking

  82 FR 41269 08/30/2017
83 FR 5104 02/05/2018
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 31,274 30,014 0 -3,290 4,550 0
Annual Time Burden (Hours) 11,005 8,590 0 1,960 455 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is an additional information collection request under OMB #0970-0462. The burden estimates include estimates for the new HPOG 2.0 National Evaluation Short –Term Follow-up Survey, the subject of this information collection request. It also includes changes to the previously approved burden estimates. The previous burden estimates were approved and covered the first three years of study enrollment under the HPOG 2.0 grants. The tribal and non-tribal grantees will enroll participants over a four and a half year period. The previously approved burden estimates covered the first three years of the study; this revised burden estimate covers the next three years—incorporating the last year and a half of enrollment. As a result, there are higher enrollment projections over the next three years and, by extension, the number of participants expected to enroll in HPOG 2.0 and complete the baseline intake form (Instrument 1) is higher for both the tribal and non-tribal grantees.

$4,910,849
No
    Yes
    No
Yes
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.
02/05/2018