OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

ICR 202207-0970-010 · OMB 0970-0577 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
LifeSet NonSub Change Request Memo v2 Clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-07-19 Missing upstream
New Appendices N-T_Draft2 Clean.docx Supplementary Document Uploaded 2022-07-20 Repair queued
LifeSet NonSub Change Request Memo - 05-03-2022 (final).docx Justification for No Material/Nonsubstantive Change Uploaded 2022-05-03 Repair queued
LifeSet NonSub Change Request Memo - 01-12-2022.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-01-13 Repair queued
LifeSet NonSub Change Request Memo_Coginitive Test Updates_10.12.21.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-10-12 Repair queued
Appendices J-L in-person – clean.docx Supplementary Document Uploaded 2021-08-16 Missing upstream
Appendices A-I in-person_2022_07_18_Clean.docx Supplementary Document Uploaded 2022-07-20 Repair queued
Appendix M IRB Approval Letter.pdf Supplementary Document Uploaded 2021-06-21 Repair queued
Appendix J- L virtual only (clean).docx Supplementary Document Uploaded 2021-08-16 Repair queued
Appendix A-I virtual only_2021_10_12- clean.docx Supplementary Document Uploaded 2021-10-12 Repair queued
Supporting Statement B - LifeSet - NonSub_v2 Clean.docx Supporting Statement B Uploaded 2022-07-19 Repair queued
Supporting Statement A - LifeSet - NonSub_v2 Clean.docx Supporting Statement A Uploaded 2022-07-19 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
247982 Instrument 5 - Site Visit 2 Interview Guide for Administrators Other-Interview Guide Unchanged
247981 Instrument 4 - Site Visit 2 Focus Group Guide for Staff Other-Focus Group Unchanged
247980 Instrument 3- Site Visit 1 Interview Guide for Administrators Other-Interview Guide Unchanged
247979 Instrument 2- Administrative Data File Other-Admin data list Unchanged
247978 Instrument 1- Baseline Youth Survey Other-Survey Unchanged
ICR Details
0970-0577 202207-0970-010
Received in OIRA 202205-0970-002
HHS/ACF OPRE
OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]
No material or nonsubstantive change to a currently approved collection   No
Regular 07/21/2022
  Requested Previously Approved
09/30/2024 09/30/2024
242 242
172 172
0 0
LifeSet is a therapeutic case management program that provides youth and young adults leaving foster care, juvenile justice, and mental health systems with the intensive in-home support and guidance they need in the transition to adulthood. The current LifeSet evaluation has two main components: an impact study to assess the effects of program participation on outcomes of interest and an implementation study to describe and document how LifeSet is implemented in New Jersey. The study is intended to contribute to the evidence base on program models that support young adults in the transition out of foster care. Project activities for the impact study include three waves of youth surveys and collection of administrative and program data. Project activities for the implementation study include interviews and focus groups with key staff and study youth. To date, 439 youth have been randomized and 193 youth have completed the baseline youth survey (Instrument 1). Due to the COVID-19 pandemic, collection of the baseline youth surveys to date has been conducted by phone. The project team’s IRB has recently approved in-person collection with procedures that mitigate the risk of participants contracting COVID-19. The project team’s IRB required additional language regarding COVID-19 risk be added to respondent consent forms and outreach materials. This nonsubstantive change is intended to ensure participants are fully informed on the risks of in-person participation and the option to participate by phone if desired. It does not alter the purpose of the data collection, nor the expected uses of the data as approved by OMB in September 2021, October 2021, January 2022, and May 2022.
US Code: 42 USC 677 Name of Law: John H. Chafee Foster Care Program for Successful Transition to Adulthood
  
None
Not associated with rulemaking
  86 FR 19892 04/15/2021
86 FR 33302 06/24/2021
No
  Total Request 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 242 242 0 0 0 0
Annual Time Burden (Hours) 172 172 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Changes to the burden table are requested as a result of a decrease in excess demand for the program. Please refer to B2 in Supporting Statement B for further details.
$529,300
No
    Yes
    No
No
No
No
No
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.
07/21/2022