WIA Gold Standard Follow-Up Surveys, Veterans' Study, and Cost Data

Forms and Documents

Document Name	Status
WIA Gold Standard Evaluation, Part B of supporting statement, 10.2.2012 Final.docx Supporting Statement B	2012-10-11
WIA Gold Standard Evaluation, Part A of supporting statement, 10.2.2012.docx Supporting Statement A	2012-10-02
WIA_Eval_App_I_Pretest_Memo.pdf Supplementary Document	2012-09-19
Signed Approval.pdf Supplementary Document	2012-09-05
WIA Eval_App H_response to comments.pdf Supplementary Document	2012-08-30
WIA Eval_App G_fed-register-notice.pdf Supplementary Document	2012-08-30

IC Document Collections

IC ID	Document Title	Status
204415	Cost Data Collection, Front Line Staff Activity Log Other-ataff activity log	New
203938	Cost Data Collection, Program Costs Questionnaire Other-questionnaire	New
203936	Veterans Focus Groups Other-focus group participant consent form	New
203935	Protocols for Focus Groups Other-focus group protocols	New
203934	Veterans' Supplemental Study Staff Interviews Other-state administrator protocol	New
203927	Resource Room Sign-in Sheet Other-resource room sign-in sheet	New
203915	Follow Up Surveys, 15 and 30 months Other-survey	New

ICR Details

OMB Control No: 1205-0504	ICR Reference No: 201208-1205-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: WIA Gold Standard Follow-Up Surveys, Veterans' Study, and Cost Data
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: 01/18/2013
	Date Received in OIRA: 10/11/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved
Responses	13,159	0	0
Time Burden (Hours)	2,581	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This request covers two follow-up surveys conducted at 15 and 30 months after random assignment, with a sample of approximately 6,000 WIA customers included in the WIA Evaluation; cost data collected on three forms-a program costs questionnaire, a staff activity log, and a resource room sign-in sheet-for use in estimating the costs of WIA services received by sample members for the benefit-cost analysis; and collection of veterans' data, consisting of qualitative data on veterans served at the 28 LWIAs participating in the WIA Evaluation. For the VSS qualitative analysis, additional questions and several activities will be added to the WIA Evaluation's second round of site visits to the 28 LWIAs. (A separate quantitative analysis will use two sets of administrative data that states already report to the DOL: the WIA Standardized Record Data [WIASRD] and Wagner-Peyser data. Because the data are already reported to the DOL, there is no additional burden associated with this quantitative data collection.)

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Authorizing Statute(s): US Code: 29 USC 49(c) Name of Law: The Workforce Investment Act
  

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 32923	06/25/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 61789	10/11/2012
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Veterans Focus Groups
Follow Up Surveys, 15 and 30 months
Cost Data Collection, Front Line Staff Activity Log
Resource Room Sign-in Sheet
Protocols for Focus Groups
Cost Data Collection, Program Costs Questionnaire
Veterans' Supplemental Study Staff Interviews

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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	13,159	0	0	13,159	0	0
Annual Time Burden (Hours)	2,581	0	0	2,581	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 collection.

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Annual Cost to Federal Government: $2,712,893

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: 10/11/2012

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