Impact Evaluation of Upward Bound's Increased Focus on Higher-Risk Students - Baseline Data Collection Protocols

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OMB83I.1850-0822.Responses.Questions.3.Oct.07.doc	Supplementary Document	Uploaded 2007-10-16	Available
UBEval OMB Part B.Final1.doc	Supporting Statement B	Uploaded 2007-07-12	Available
UBEval OMB Part A.Final.Regular1.doc	Supporting Statement A	Uploaded 2007-07-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46416	Student Selection Forms	Other-Student Selection Form	Modified
46415	Student Assent and Baseline Forms	Other-Student Informed Assent Form	Modified
46413	Parent Consent Forms	Other-Parental Consent	Modified

ICR Details

OMB Control No: 1850-0822	ICR Reference No: 200707-1850-003
Status: Historical Active	Previous ICR Reference No: 200704-1850-001
Agency/Subagency: ED/IES	Agency Tracking No: 3345
Title: Impact Evaluation of Upward Bound's Increased Focus on Higher-Risk Students - Baseline Data Collection Protocols
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/17/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/17/2007
Terms of Clearance: This ICR is approved consistent with ED memo of 10-9-07. The language provided in that memo (regarding statutory authority to provide assurances of confidentiality) should be the language used on the parental consent forms. As such, ED shall revise the parental consent forms prior to commencing the study.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved	10/31/2007
Responses	10,890	0	10,890
Time Burden (Hours)	3,900	0	3,900
Cost Burden (Dollars)	0	0	0

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Abstract: This evaluation will focus on the impacts of Upward Bound on students applying to enter the program as early as the summer of 2007. The current OMB package requests clearance for the instruments to be used in gathering information.

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Authorizing Statute(s): PL: Pub.L. 105 - 244 404A Name of Law: Higher Education Act of 1965, 1998, Higher Education Act Amendments
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 27097	05/14/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 39062	07/17/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Parent Consent Forms
Student Assent and Baseline Forms
Student Selection Forms

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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	10,890	10,890	0	0	0	0
Annual Time Burden (Hours)	3,900	3,900	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

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: $743,997

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

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: 07/17/2007

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