Child Support Noncustodial Parent Employment Demonstration (CSPED)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Protocol for Collecting Administrative Records	Form and Instruction	New	Available
Form 1 Study MIS to Conduct Random Assignment	Form and Instruction	New	Repair queued
Form 1 Baseline Survey	Form and Instruction	New	Available
Form 1 Introductory Script - Program Applicants	Form and Instruction	New	Available
Form 1 Introductory Script - Program Staff	Form and Instruction	New	Available
Form 1 Study MIS	Form and Instruction	New	Available
Form 1 Program Staff Survey	Form and Instruction	New	Available
Form 1 Focus Group Guide	Form	New	Available
Form 1 Staff Interview Topic Guide	Form and Instruction	New	Available
OCSE Responses to OIRA Comments on CSPED OMB Package Memo_final.docx	Supplementary Document	Uploaded 2013-09-11	Available
Attachment F_followup survey_new.docx	Supplementary Document	Uploaded 2013-09-11	Available
Part B Statistical Methods_final.docx	Supporting Statement B	Uploaded 2013-09-11	Available
Attachment E_CSPED IC Timeline.pdf	Supplementary Document	Uploaded 2013-04-25	Available
Attachment D_Reminders_final.docx	Supplementary Document	Uploaded 2013-09-11	Available
Attachment C_FAQ_final.docx	Supplementary Document	Uploaded 2013-09-11	Available
Attachment B_QxQ justification.docx	Supplementary Document	Uploaded 2013-04-25	Available
Attachment A_Consent statement_final.docx	Supplementary Document	Uploaded 2013-09-11	Available
Part A Justification_final.docx	Supporting Statement A	Uploaded 2013-09-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206722	Protocol for Collecting Administrative Records	Form and Instruction	New	Protocol for Collecting Administrative Records
206721	Study MIS to Conduct Random Assignment	Form and Instruction	New	Study MIS to Conduct Random Assignment
206720	Baseline Survey	Form and Instruction	New	Baseline Survey
206719	Introductory Script--Program Applicants	Form and Instruction	New	Introductory Script - Program Applicants
206718	Introductory Script--Program Staff	Form and Instruction	New	Introductory Script - Program Staff
206717	Study MIS	Form and Instruction	New	Study MIS
206716	Program Staff Survey	Form and Instruction	New	Program Staff Survey
206715	Focus Group Guide	Form	New	Focus Group Guide
206714	Staff Interview Topic Guide	Form and Instruction	New	Staff Interview Topic Guide

ICR Details

OMB Control No: 0970-0439	ICR Reference No: 201304-0970-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: 19301
Title: Child Support Noncustodial Parent Employment Demonstration (CSPED)
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: 09/12/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/29/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved
Responses	116,915	0	0
Time Burden (Hours)	8,204	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection request (ICR) is for clearance to collect information for the Child Support Noncustodial Parent Employment Demonstration (CSPED) evaluation. Under CSPED, the Office of Child Support Enforcement (OCSE) with the Administration for Children and Families (ACF), Department of Health and Human Services (HHS), has issued grants to eight state child support agencies to provide employment, parenting, and child support services to noncustodial parents who are having difficulty meeting their child support obligations. HHS/ACF/OCSE has issued a grant to the Wisconsin Department of Children and Families to conduct an implementation and cost study and an impact study of CSPED. The evaluation will be based on a randomized controlled trial research design in which program applicants who are eligible for CSPED services will be randomly assigned to either a treatment group that is offered CPSED services or a control group that is not.

---

Authorizing Statute(s): US Code: 42 USC 1315 Name of Law: Demonstration Project
  

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:
	78 FR 2409	01/11/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 24423	04/25/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Survey	1	Baseline Survey
Focus Group Guide	1	Focus Group Guide
Introductory Script--Program Applicants	1	Introductory Script - Program Applicants
Introductory Script--Program Staff	1	Introductory Script - Program Staff
Program Staff Survey	1	Program Staff Survey
Protocol for Collecting Administrative Records	1	Protocol for Collecting Administrative Records
Staff Interview Topic Guide	1	Staff Interview Topic Guide
Study MIS	1	Study MIS
Study MIS to Conduct Random Assignment	1	Study MIS to Conduct Random Assignment

---

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	116,915	0	0	116,835	80	0
Annual Time Burden (Hours)	8,204	0	0	8,084	120	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 ICR.

---

Annual Cost to Federal Government: $2,697,333

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

---

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: 04/29/2013

---