Evaluation of the Transition Living Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 TLP Grantee Survey Positive Youth Development	Form	New	Available
Form 1 Youth Follow-up Survey -12 mos	Form	Modified	Available
Form 1 Youth Follow-up Survey - 6 mon	Form	Modified	Available
Form 1 TLP Grantee Survey Program Overview	Form	Modified	Available
Form 1 Grantee Service Log	Form	Modified	Available
Form 1 Youth Exit Survey	Form	Modified	Available
Form 1 Youth Baseline Survey	Form	Modified	Available
Supporting Statement TLP Final2.doc	Supporting Statement B	Uploaded 2010-10-18	Available
Supporting Statement TLP Final2.doc	Supporting Statement A	Uploaded 2010-10-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193540	TLP Grantee Survey Positive Youth Development	Form	New	TLP Grantee Survey Positive Youth Development
189110	Youth Follow-up Survey - 12 mos	Form	Modified	Youth Follow-up Survey -12 mos
189109	Youth Follow-up Survey - 6 mos	Form	Modified	Youth Follow-up Survey - 6 mon
189108	TLP Grantee Survey Program Overview	Form	Modified	TLP Grantee Survey Program Overview
189107	Grantee Service Log	Form	Modified	Grantee Service Log
189106	Youth Exit Survey	Form	Modified	Youth Exit Survey
189105	Youth Baseline Survey	Form	Modified	Youth Baseline Survey

ICR Details

OMB Control No: 0970-0383	ICR Reference No: 201007-0970-001
Status: Historical Active	Previous ICR Reference No: 200905-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Transition Living Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/29/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/01/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved
Responses	3,870	0	0
Time Burden (Hours)	1,780	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The proposed collection is a set of surveys to be administered to youth in residential services (Part B, Transitional Living Program or TLP) to measure their long term outcomes and effective service strategies. In addition to collecting information on housing outcomes, the study will also consider the living, employment, education, and family situation of the youth before and after their time in the TLP. Grantees will also be surveyed on service methods and program structure. This information will be used to better understand the most effective practices in improving long-term outcomes of youth in an effort to guide program improvements.

---

Authorizing Statute(s): PL: Pub.L. 106 - 71 42 Name of Law: The Runaway and Homeless Youth Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 50022	08/25/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 20321	05/21/2008
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Grantee Service Log	1	Grantee Service Log
TLP Grantee Survey Positive Youth Development	1	TLP Grantee Survey Positive Youth Development
TLP Grantee Survey Program Overview	1	TLP Grantee Survey Program Overview
Youth Baseline Survey	1	Youth Baseline Survey
Youth Exit Survey	1	Youth Exit Survey
Youth Follow-up Survey - 12 mos	1	Youth Follow-up Survey -12 mos
Youth Follow-up Survey - 6 mos	1	Youth Follow-up Survey - 6 mon

---

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	3,870	0	0	3,870	0	0
Annual Time Burden (Hours)	1,780	0	0	1,780	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new ICR. This ICR was previously submitted and then withdrawn. OMB agreed to waive the requirement to republished the Federal Register Notices on this resubmission.

---

Annual Cost to Federal Government: $175,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 07/01/2010

---