Disability Employment Initiative Evaluation

Forms and Documents

Document Name	Status
DEI web portal screens-1.30.13.docx Supplementary Document	2013-01-30
DEI Web Page Edits 1-25-13.docx Supplementary Document	2013-01-30
101812_WI DEI Supplemental Questionnaire-Berge REVISED 1-25-13 20130123.docx Supplementary Document	2013-01-30
101812_ME DEI Supplemental Questionnaire REVISED 1-25-13 20130123).docx Supplementary Document	2013-01-30
Interveiw Protocol 1-25-13 TRACK CHANGES ACCEPTED.doc Supplementary Document	2013-01-30
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13 JV TRACK CHANGES ACCEPTED.doc Supplementary Document	2013-01-30
DEI Eval OMB Package Supporting Statement Part A_FINAL_03.30.12.docx Supporting Statement A	2012-03-30
Appendix 6 DEI_Year 2 SGA_012412.pdf Supplementary Document	2012-02-16
Appendix 6 DEI_Year 1 SGA_012412.pdf Supplementary Document	2012-02-16
DEI Eval OMB Package Supporting Statement Part B_FINAL.docx Supporting Statement B	2012-02-16
DEI Focus Group Protocol.docx Supplementary Document	2012-02-16
Interveiw_Protocol_1-25-13__TRACK_CHANGES_Final.doc Supplementary Document	2013-01-30
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc Supplementary Document	2013-01-30
CEO Approval DEI 02082012.pdf Supplementary Document	2012-02-09

IC Document Collections

IC ID	Document Title	Status
199069	DEI Data System - Customers with Disabilities Other-Data Elements to be Collected	New
199068	DEI Data System - State Government Other-Data Elements to be Collected	New
199067	Disability Employment Initiative Evaluation Site Visits - Consumer Focus Groups Other-Interview Guide	New
199066	Disability Employment Initiative Evaluation Site Visits - Partners & Employers Other-Interview Guide	New
197615	Disability Employment Initiative Grantee Site Visits - State Employees Other-Interview Guide	New

ICR Details

OMB Control No: 1230-0006	ICR Reference No: 201104-1230-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ODEP	Agency Tracking No:
Title: Disability Employment Initiative Evaluation
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: 01/30/2013
	Date Received in OIRA: 04/09/2012
Terms of Clearance: Approved as revised by DOL.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved
Responses	435,824	0	0
Time Burden (Hours)	36,158	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Disability Employment Policy has a requirement for conducting the Disability Employment Initiative (DEI) Evaluation. Information will be collected through annual site visits and a new DEI Data System.

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Authorizing Statute(s): PL: Pub.L. 111 - 117 Division D Name of Law: Consolidated Appropriations Act 2010
  

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:
	76 FR 35915	06/20/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 21108	04/09/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Disability Employment Initiative Grantee Site Visits - State Employees
DEI Data System - Customers with Disabilities
DEI Data System - State Government
Disability Employment Initiative Evaluation Site Visits - Partners & Employers
Disability Employment Initiative Evaluation Site Visits - Consumer Focus Groups

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ICR Summary 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	435,824	0	0	435,824	0	0
Annual Time Burden (Hours)	36,158	0	0	36,158	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 information collection.

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Annual Cost to Federal Government: $971,233

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

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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: 04/09/2012

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