Information Collection Request

Cascades Job Corps College and Career Academy Pilot Evaluation

ICR 201905-1290-002 · OMB 1290-0012 · Historical Inactive

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1290-0012 can be found here:

2020-02-27 - Revision of a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Justification for Non-substantive Change 072019 Update_CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-08-13	Available
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	Repair queued
CJC SupportDoc_Youth Assent Form 10-17-16.docx	Supplementary Document	Uploaded 2016-10-20	Available
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	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
223432	Follow-up Tracking Form	Other-tracking from	Unchanged
223431	Interview Protocol – Student Focus Group	Other-focus group protocol	Modified
223430	Interview Protocol – Other Center Directors	Other-interview protocol	Unchanged
223429	Interview Protocol - Employer Calls	Other-interview protocol	Unchanged
223428	Interview Protocol – Skagit Valley College Liaison and Sedro-Wooley School District Liaison	Other-Interview protocol	Unchanged
223427	Interview Protocol – Social Development Director	Other-Interview protocol	Modified
223426	Interview Protocol – IT Pathway Manager and Healthcare Pathway Manager	Other-Interview protocol	Modified
223363	Interview Protocol – Admission and Placement Director and Placement Officer	Other-interview protocol	Unchanged
223362	Interview Protocol – Academy Director, College and Career Dean, and College Preparation Manager	Other-Interview protocol	Modified
223359	Baseline Information Form	Other-null	Unchanged

ICR Details

OMB Control No: 1290-0012	ICR Reference No: 201905-1290-002
Status: Historical Inactive	Previous ICR Reference No: 201609-1290-001
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Cascades Job Corps College and Career Academy Pilot Evaluation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 09/17/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/11/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	02/29/2020	03/31/2020
Responses	1,852	0	1,852
Time Burden (Hours)	372	0	372
Cost Burden (Dollars)	0	0	0

Abstract: 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.

Authorizing Statute(s): US Code: 29 USC 3224 Name of Law: Workforce Innovation and Opportunity Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 41598	06/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 87082	12/02/2016
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Interview Protocol â Other Center Directors
Follow-up Tracking Form
Interview Protocol â Social Development Director
Baseline Information Form
Interview Protocol â Academy Director, College and Career Dean, and College Preparation Manager
Interview Protocol â Admission and Placement Director and Placement Officer
Interview Protocol â Student Focus Group
Interview Protocol â Skagit Valley College Liaison and Sedro-Wooley School District Liaison
Interview Protocol â IT Pathway Manager and Healthcare Pathway Manager
Interview Protocol - Employer Calls

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Some errors were corrected and 3 additional sites have been added.

Annual Cost to Federal Government: $233,184

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Jessica Lohmann 202 693-5087 [email protected]

Common Form ICR: No