Information Collection Request
The Evaluation of the Pathway Home Grant Program (Pathway Home Evaluation)
ICR 202301-1290-001 · OMB 1290-0039 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1290-0039 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 PHE QED Participant Consent Form_Jan2023_Comparison_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Available |
| PHE QED Participant Consent Form_Jan2023_Comparison_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Repair queued |
| PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Repair queued |
| PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Repair queued |
| PHE QED Baseline Information Form_Jan2023_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Repair queued |
| PHE QED Baseline Information Form_Jan2023_trcks_forOMB.docx |
Supplementary Document | Uploaded 2023-01-31 | Repair queued |
| PHE OMB non sub change memo 2023_1_26.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-01-27 | Available |
| PHE OMB non sub change memo 2023_1_26.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-01-27 | Repair queued |
| PHE_OMB1_Attach H_Pre-Release Focus Group Consent Form_08312021_toDOL.docx |
Supplementary Document | Uploaded 2022-08-30 | Repair queued |
| PHE_OMB1_Attach H_Pre-Release Focus Group Consent Form_08312021_toDOL.docx |
Supplementary Document | Uploaded 2022-08-30 | Repair queued |
| PHE_OMB1_Attach G_Baseline Consent Form_08312021_toDOL.docx |
Supplementary Document | Uploaded 2022-08-30 | Available |
| PHE_OMB1_Attach G_Baseline Consent Form_08312021_toDOL.docx |
Supplementary Document | Uploaded 2022-08-30 | Repair queued |
 PRA Signature Form_Pathway Home_(2022_0217).pdf |
Supplementary Document | Uploaded 2022-08-30 | Repair queued |
| PRA Signature Form_Pathway Home_(2022_0217).pdf |
Supplementary Document | Uploaded 2022-08-30 | Repair queued |
| T3-086_PHE_OMB1_Supporting Statement Part B_with QED_clean.docx |
Supporting Statement B | Uploaded 2022-08-30 | Repair queued |
| T3-086_PHE_OMB1_Supporting Statement Part B_with QED_clean.docx |
Supporting Statement B | Uploaded 2022-08-30 | Repair queued |
| Pathway Home Grant Evaluation_OMB1_Supporting Statement Part A.docx |
Supporting Statement A | Uploaded 2022-08-30 | Available |
| Pathway Home Grant Evaluation_OMB1_Supporting Statement Part A.docx |
Supporting Statement A | Uploaded 2022-08-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 255695 |  Staff Interview Topic Guide - Partner staff administrators |
Other-Information form | Unchanged | |
| 255694 | Staff Interview Topic Guide - Grant administrators |
Other-Information form | Unchanged | |
| 255693 | Staff Interview Topic Guide - Frontline staff |
Other-Information form | Unchanged | |
| 255692 | Pre-Release Focus Group Topic Guide |
Other-Information form | Unchanged | |
| 255691 | Post-Release Interview Topic Guide |
Other-Information form | Unchanged | |
| 255687 | Grantee Survey |
Other-survey | Unchanged | |
| 255686 | Facility Survey |
Other-Survey | Unchanged | |
| 255685 | Baseline Information Form |
Other-Information form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOL/OS |
| OMB Control No | 1290-0039 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202208-1290-002 |
| Date Submitted to OIRA | 2023-01-31 |
| Requested Expiration Date | 1969-12-31 |