Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
STED-ETJD Supporting Statement Part B 10-11-12.docx	Supporting Statement B	Uploaded 2012-10-11	Available
Appendix_L_Worksite Observation Guide 10-3-12.doc	Supplementary Document	Uploaded 2012-10-11	Available
Appendix_S_Intro Script_26APR12.doc	Supplementary Document	Uploaded 2012-05-03	Available
Appendix_Q_STED TWG_18APR12.doc	Supplementary Document	Uploaded 2012-05-03	Repair queued
Appendix_B_Informed Consent 10-10-12.docx	Supplementary Document	Uploaded 2012-10-11	Available
Appendix_A_Background on Subsidized Employment_18APR12.doc	Supplementary Document	Uploaded 2012-05-03	Available
Appendix_J_Interview Guides_26APR12.doc	Supplementary Document	Uploaded 2012-05-03	Repair queued
Appendix_J_Interview Guides_26APR12.doc	Supplementary Document	Uploaded 2012-05-03	Available
Appendix_J_Interview Guides_26APR12.doc	Supplementary Document	Uploaded 2012-05-03	Repair queued
STED-ETJD Supporting Statement Part A 10-10-12.doc	Supporting Statement A	Uploaded 2012-10-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
202240	Program Staff Time-Use Worksheet	Other-Worksheet	New
202239	Referral Partner Interview Guides	Other-Referral Partners Interview Guides	New
202238	Employer Interview Guides	Other-Employer Interview guides	New
202237	Program Staff Cost Data Collection Protocol	Other-Protocol	New
202236	Program Staff Interview Guides	Other-Program Staff Interview Guides	New
202235	Employer Implementation Questionnaire	Other-Questionnaire	New
202234	Worksite Supervisor Implementation Questionnaire	Other-Questionnaire	New
202233	Program Staff Implementation Questionnaire	Other-Questionnaire	New
202232	Participant Focus Group Discussion Guide	Other-Focus Group Guide	New
202231	Participant Implementation Questionnaire	Other-Questionnaire	New
202230	Participant 12-month survey	Other-12 Month Follow-Up	New
202229	Participant 6-month survey	Other-6-month survey	New
202228	Participant ETJD tracking letters	Other-Tracking Letters	New
202227	Participant STED tracking letters	Other-Tracking	New
202226	Participant Baseline Information Form	Other-BIF	New
202225	Participant Contact Information Form	Other-Contact Info Form	New

ICR Details

OMB Control No: 0970-0413	ICR Reference No: 201205-0970-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)
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: 10/11/2012
	Date Received in OIRA: 05/10/2012
Terms of Clearance: Approved as revised by ACF with the following term of clearance. ACF will continue to explore the issue of the applicability of the Privacy Act to this collection and will work with OMB to resolve this issue prior to fielding the survey.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2015	36 Months From Approved
Responses	16,187	0	0
Time Burden (Hours)	4,393	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This Supporting Statement provides information for a proposed combined data collection effort to determine the effectiveness of subsidized and transitional employment programs being evaluated by the Administration for Children and Families (ACF) Subsidized and Transitional Employment Demonstration (STED) and the U.S. Department of Labor Enhanced Transitional Jobs Demonstration (ETJD). Both evaluations will ultimately consist of seven sites; however, since two of the programs funded through the ETJD project will be evaluated through the STED project, we anticipate a total of twelve sites will participate in the two projects. All seven of the sites that are part of the ETJD project (including two which are being evaluated as a part of STED) have already begun enrolling participants into the evaluation. The primary goal of both projects is to increase our knowledge about the efficacy of programs aimed at helping target populations secure and maintain unsubsidized employment. ACF and ETA have agreed to collaborate on the design of data collection instruments to promote consistency across the project.

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Authorizing Statute(s): PL: Pub.L. 74 - 271 413 Name of Law: Social Security Act; Research, Evaluations and National Studies
  

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:
	77 FR 2550	01/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 27460	05/10/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
Participant Contact Information Form
Participant Baseline Information Form
Participant STED tracking letters
Participant ETJD tracking letters
Participant 6-month survey
Participant 12-month survey
Participant Implementation Questionnaire
Participant Focus Group Discussion Guide
Program Staff Implementation Questionnaire
Worksite Supervisor Implementation Questionnaire
Employer Implementation Questionnaire
Program Staff Interview Guides
Program Staff Cost Data Collection Protocol
Employer Interview Guides
Referral Partner Interview Guides
Program Staff Time-Use Worksheet

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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	16,187	0	0	16,187	0	0
Annual Time Burden (Hours)	4,393	0	0	4,393	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: $7,968,517

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: 05/10/2012

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