An Impact Evaluation of a School-Based Violence Prevention Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att_1850-0814 v.2 Part B SS revised 4-15-09.docx	Supporting Statement B	Uploaded 2009-04-29	Available
Att_Appendix G Classroom Observations.pdf	Supplementary Document	Uploaded 2009-03-24	Available
Att_Appendix J List of Experts Consulted.pdf	Supplementary Document	Uploaded 2009-03-24	Available
Att_Appendix L Parental Consent Form.pdf	Supplementary Document	Uploaded 2009-03-24	Available
Violence Paperwork Reduction Act Submission extension part A 7 6 09 (2).doc	Supporting Statement A	Uploaded 2009-07-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
22577	Student Survey	Other-survey	Modified
188534	Individual Student Records	Other-student records	New
188533	School Policy Violations and Disciplinary Actions	Other-listing of student violations and disciplinary actions	New
188532	RiPP Implementation Records	Other-Implementation Records	New
188531	School Management Team Interview	Other-interview guide	New
188530	Violence Prevention Staff Interview	Other-interview guide	New
188529	Violence Prevention Coordinator Interview	Other-interview	New
188528	Teacher Survey	Other-survey	New

ICR Details

OMB Control No: 1850-0814	ICR Reference No: 200903-1850-001
Status: Historical Active	Previous ICR Reference No: 200603-1850-001
Agency/Subagency: ED/IES	Agency Tracking No: 3941
Title: An Impact Evaluation of a School-Based Violence Prevention Program
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 without change	Conclusion Date: 07/23/2009
	Date Received in OIRA: 04/29/2009
Terms of Clearance: OMB approves this one-year extension with no changes. However, we note that in the intervening years since this study was first approved, OMB and IES have together developed a different understanding than the one embodied here on several issues such as appropriate incentive levels and confidentiality statements, so that what is reflected here is not reflective of current practice.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	12 Months From Approved	07/31/2009
Responses	10,627	0	13,867
Time Burden (Hours)	13,168	0	15,599
Cost Burden (Dollars)	0	0	0

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Abstract: This is an request to extend by one year the expiration date for the data collection instruments for the Impact Evaluation of a School-Based Violence Prevention Program so that extent data collection can be completed. Both a curriculum-based program and a whole-school program are being implemented together so that the impact of a hybrid model of school-based violence prevention can be tested, as was recommended by experts in the field of school-based violence prevention. The beginning of data collection was delayed due to diffculty in site recruitment. The extension will allow the contractor to complete the third and final year of extent data collection.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 7036	02/12/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 18703	04/24/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Individual Student Records
Student Survey
School Policy Violations and Disciplinary Actions
Teacher Survey
Violence Prevention Coordinator Interview
Violence Prevention Staff Interview
School Management Team Interview
RiPP Implementation Records

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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	10,627	13,867	0	0	-3,240	0
Annual Time Burden (Hours)	13,168	15,599	0	0	-2,431	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: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a request for an extension of an existing collection with no change from the previous collection, however, the previous number of respondents, responses and burden hours was figured incorrectly in the original submission and was migrated over to Rocis with the incorrect numbers. Although this is a request for a one year extension with no changes from the current collection, I am correcting the hours and responses to reflect the correct numbers in this submission.

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Annual Cost to Federal Government: $2,000,000

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)? No

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: 04/29/2009

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