Information Collection Request

Evaluation of the Transition Living Program

ICR 201410-0970-006 · OMB 0970-0383 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Program Overview Program Staff Form and Instruction New Repair queued
Form 1 Program Overview Executive Director Form and Instruction New Available
Form 1 Young Adult 18 mos Follow Up 2015 Form and Instruction New Available
Form 1 Young Adult 15 mos Tracking 2015 Form and Instruction New Available
Form 1 Youth Tracking Survey Form and Instruction New Available
Form 1 TLP Grantee Survey Positive Youth Development Form Modified Available
Form 1 Young Adult 12 mos Follow Up 2015 Form and Instruction Modified Available
Form 1 Young Adult 6 mos Tracking 2015 Form and Instruction Modified Available
Form 1 TLP Grantee Survey Program Overview Form Removed Repair queued
Form 1 TLP Grantee Survey Program Overview Form Removed Available
Form 1 Young Adult 3 Month Survey 2015 Form and Instruction Modified Available
Form 1 Youth Exit Survey Form Removed Available
Form 1 Young Adult Baseline Survey Form and Instruction Modified Available
OMB Question about Amazon Gift Cards.docx Supplementary Document Uploaded 2015-07-16 Available
Attachment B_TLP_YouthSurvey_Items-Sources_2014.pdf Supplementary Document Uploaded 2014-10-10 Available
Attachment A_TLP_CrossWalk_Table of Measures 2014.docx Supplementary Document Uploaded 2014-10-10 Available
PART B Supporting Statement TLP 2015 7 20 15clean.docx Supporting Statement B Uploaded 2015-07-21 Available
PART A Supporting Statement TLP 2015 7 20.docx Supporting Statement A Uploaded 2015-07-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
213463 Program Overview Survey: Prgram Staff Interview Guide Form and Instruction NewProgram Overview Program Staff
213462 Program Overview Survey: Executive Director Form and Instruction NewProgram Overview Executive Director
213458 Young Adult 18-Month Follow Up Form and Instruction NewYoung Adult 18 mos Follow Up 2015
213457 Young Adult 15 Month Tracking Survey Form and Instruction NewYoung Adult 15 mos Tracking 2015
213456 Young Adult 9-Month Tracking Survey Form and Instruction NewYouth Tracking Survey
193540 Youth Development Survey Interview Guide Form ModifiedTLP Grantee Survey Positive Youth Development
189110 Young Adult 12 Month Follow-Up Survey Form and Instruction ModifiedYoung Adult 12 mos Follow Up 2015
189109 Young Adult 6-Month Tracking Survey Form and Instruction ModifiedYoung Adult 6 mos Tracking 2015
189108 TLP Grantee Survey Program Overview Form RemovedTLP Grantee Survey Program Overview
189108 TLP Grantee Survey Program Overview Form RemovedTLP Grantee Survey Program Overview
189107 Young Adult 3 Month Follow Up Survey Form and Instruction ModifiedYoung Adult 3 Month Survey 2015
189106 Youth Exit Survey Form RemovedYouth Exit Survey
189105 Young Adult Baseline Survey Form and Instruction ModifiedYoung Adult Baseline Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved 10/31/2013
7,348 0 830
3,125 0 450
0 0 0





Reginfo record details
10
table that charts list of burden
IC Title Form No. Form Name
Program Overview Survey: Executive Director 1
Program Overview Survey: Prgram Staff Interview Guide 1
TLP Grantee Survey Program Overview 1 ,  
Young Adult 12 Month Follow-Up Survey 1
Young Adult 15 Month Tracking Survey 1
Young Adult 18-Month Follow Up 1
Young Adult 3 Month Follow Up Survey 1
Young Adult 6-Month Tracking Survey 1
Young Adult 9-Month Tracking Survey 1
Young Adult Baseline Survey 1
Youth Development Survey Interview Guide 1
Youth Exit Survey 1

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 7,348 830 0 6,518 0 0
Annual Time Burden (Hours) 3,125 450 0 2,675 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No