Follow-Up Survey Information for Green Jobs and Health Care Impact Evaluation, American Recovery Reinvestment Act Grants

Forms and Documents

Document Name	Status
Green Jobs ARRA Part_A_Follow-up_Data_Collection 9-21 -2012[1].docx Supporting Statement A	2012-11-05
GJ-HC 18-month survey Pre-test Memo_FINAL.docx Supplementary Document	2012-09-21
671678 - Part_B_Follow-up_Data_Collection 9-18-2012.docx Supporting Statement B	2012-09-20
60-day FRN - 2012-8724.pdf Supplementary Document	2012-09-20
CEO clearance for green jobs & health care Part B.pdf Supplementary Document	2012-09-20

IC Document Collections

IC ID	Document Title	Status
204169	Follow-Up Surveys, 18 and 36 months Other-survey	New

ICR Details

OMB Control No: 1205-0506	ICR Reference No: 201209-1205-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Follow-Up Survey Information for Green Jobs and Health Care Impact Evaluation, American Recovery Reinvestment Act Grants
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: 02/13/2013
	Date Received in OIRA: 11/21/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	4,024	0	0
Time Burden (Hours)	2,213	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In July, 2011, OMB approved the baseline data collection for this evaluation (OMB 1205-0486), and in March, 2012, OMB approved a subsequent request for the process study data collection, which includes site visits and focus group administration (OMB 1205-0487). The request for approval in this information collection request is limited to the follow-up interviews planned for all study participants 18 months and 36 months after baseline collection. Requests for approvals for this evaluation needed to be submitted in three parts for several reasons. The main reason is that it was necessary to (1) conduct random assignment and collect baseline data early in the study period to obtain a sample size needed for the estimation of program impacts and (2) conduct two rounds of process study visits, including one when the early sample was participating in the training program. In addition, the study structure required that the baseline data inform the development of the follow-up data collection effort. As a result, it was necessary to initiate the baseline data collection and gain experience in its implementation before the follow-up instruments could be developed. Thus, ETA is now requesting OMB approval of these follow-up instruments so that the evaluation can be completed on schedule.

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Authorizing Statute(s): US Code: 29 USC 2917 Name of Law: 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 22001	04/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 69896	11/21/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Follow-Up Surveys, 18 and 36 months

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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	4,024	0	0	4,024	0	0
Annual Time Burden (Hours)	2,213	0	0	2,213	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: $0

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: 11/21/2012

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