Green Jobs and Health Care Impact Evaluation of ARRA-funded Grants

Forms and Documents

Document Name	Status
1205-0481extension_non_substantive_change_justification 5 1 2012.docx Justification for No Material/Nonsubstantive Change	2012-05-01
1205-0481_Green_Jobs_baseline_data_SS_A_5 1 2012.docx Supporting Statement A	2012-05-01
GREENLAB Evaluation Design ReportFINAL.pdf Supplementary Document	2012-03-29
Green Jobs Supporting Statement - Part B - (updated 3-9-12).doc Supporting Statement B	2012-03-29

IC Document Collections

IC ID	Document Title	Status
197678	Baseline Data Collection, Staff Other-participant consent form	Modified
197676	Baseline Data Collection Other-participant consent form	Modified

ICR Details

OMB Control No: 1205-0481	ICR Reference No: 201203-1205-011
Status: Historical Active	Previous ICR Reference No: 201110-1205-011
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Green Jobs and Health Care Impact Evaluation of ARRA-funded Grants
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/2012
	Date Received in OIRA: 05/10/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	02/28/2015	02/28/2015
Responses	3,087	0	12,000
Time Burden (Hours)	1,536	0	2,600
Cost Burden (Dollars)	0	0	0

---

Abstract: ETA is undertaking the Green Jobs and Health Care Impact Evaluation of the Pathways Out of Poverty (POP – Green Jobs) and Health Care and High Growth Training grant initiatives. The goal of this evaluation is to determine the extent to which enrollees achieve increases in employment, earnings, and career advancement as a result of their participation in the training provided by Pathways and Health Care grantees and to identify promising best practices and strategies for replication.

---

Authorizing Statute(s): PL: Pub.L. 106 - 303 414(c) Name of Law: American Competitiveness in the Twenty-First Century
   US Code: 29 USC 2801 Name of Law: Workforce Investment 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:
	76 FR 60084	09/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 81980	12/29/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Baseline Data Collection
Baseline Data Collection, Staff

---

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	3,087	12,000	0	0	-8,913	0
Annual Time Burden (Hours)	1,536	2,600	0	0	-1,064	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: Adjustments to burden hours were made to account for the ongoing nature of the information collection, since the burden going forward is not as great as it was earlier.

---

Annual Cost to Federal Government: $582,080

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)? Yes

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: 05/10/2012

---