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

ICR 201209-1205-004

OMB: 1205-0506

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2012-11-05
Supplementary Document
2012-09-21
Supporting Statement B
2012-09-20
Supplementary Document
2012-09-20
Supplementary Document
2012-09-20
IC Document Collections
IC ID
Document
Title
Status
204169 New
ICR Details
1205-0506 201209-1205-004
Historical Active
DOL/ETA
Follow-Up Survey Information for Green Jobs and Health Care Impact Evaluation, American Recovery Reinvestment Act Grants
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/13/2013
Retrieve Notice of Action (NOA) 11/21/2012
  Inventory as of this Action Requested Previously Approved
02/29/2016 36 Months From Approved
4,024 0 0
2,213 0 0
0 0 0

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.

US Code: 29 USC 2917 Name of Law: Workforce Investment Act
  
None

Not associated with rulemaking

  77 FR 22001 04/12/2012
77 FR 69896 11/21/2012
No

1
IC Title Form No. Form Name
Follow-Up Surveys, 18 and 36 months

  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
Yes
Miscellaneous Actions
No
This is a new information collection.

$0
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Bonnie Naradzay 202-693-3675 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/21/2012


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