All-Grantee Mail Survey and 35 Site Visits for the Multi-Site Evaluation of the Welfare-to-Work Grants Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

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IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10349	All-Grantee Mail Survey and 35 Site Visits for the Multi-Site Evaluation of the Welfare-to-Work Grants Program		Migrated

ICR Details

OMB Control No: 0990-0227	ICR Reference No: 199810-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: All-Grantee Mail Survey and 35 Site Visits for the Multi-Site Evaluation of the Welfare-to-Work Grants Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/26/1998
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/1998
	Date Received in OIRA: 10/20/1998
Terms of Clearance: Approved as amended by HHS' memo and revisions to OMB of 10/29/98 and 10/30/98. In addition, the following terms of clearance apply: 1) Consistent with the 10/30/98 memo, HHS will investigate the feasibility of stratifying the exploratory site sample (as well as the sample for impact and process sites) by those programs/ localities/SDAs/grantees that have served the WtW target population effectively in the past; those that have served the eligible population ineffectively in the past; and those that are new and thus have not served that population before at all. This stratification, which will quantify a grantee's past success in serving the population, could be used by HHS as an operational definition of "typical" in its efforts to stratify by typical vs. innovative from both the national and local perspective. 2) Consistent with the 10/30/98 memo, HHS will investigate the feasibility of stratifying the exploratory site sample (as well as the sample for impact and process sites) by variations in local economic conditions, such as job growth and State and local unemploment trends. 3) OMB's approval of the proposed methodology for site selection is conditioned on HHS submitting no later than December 1, 1998 for OMB review a memorandum reporting on the investigations outlined in terms 1 and 2 and what results those investigations have on site selection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1999	04/30/1999
Responses	828	0	0
Time Burden (Hours)	801	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection will provide an early snapshot of the status of welfare-to-work formula and competitive grantees and provide information on implementation issues at sites visited. The information will serve as the basis for a congressionally mandated report.

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
All-Grantee Mail Survey and 35 Site Visits for the Multi-Site Evaluation of the Welfare-to-Work Grants Program

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ICR Summary of Burden

table that charts list of burden

	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	828	0	0	828	0	0
Annual Time Burden (Hours)	801	0	0	801	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/20/1998

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