Department of Labor Generic Solution for Site Visits for Research Purposes

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Site Vists Generic Clearance - Supporting Statement B.docx	Supporting Statement B	Uploaded 2016-05-06	Repair queued
Site Visits Generic Clearance - Supporting Statement Part A.doc	Supporting Statement A	Uploaded 2016-05-06	Available
Submission Form to Create Instance of Generic Site Visit Collection.doc	Supplementary Document	Uploaded 2015-02-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No:	ICR Reference No: 201410-1290-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Department of Labor Generic Solution for Site Visits for Research Purposes
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 06/08/2017
	Date Received in OIRA: 05/13/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		24 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of this generic clearance for site visits is to be able to carry out evaluation data collection in a timely manner, and to facilitate the gathering of critical information to support analysis around core research questions. Qualitative information will be collected from individuals who are familiar with, are administering or participating in, the intervention being evaluated. Site visits provide critical data for research and evaluation projects that can: (1) describe implementation issues, the context in which the intervention was implemented, services, management and costs; (2) describe the experiences of service providers at each of the study sites, including site perspectives on implementation challenges and intervention effects; (3) describe the experiences and responses of individuals administering or participating in the intervention; (4) document the extent to which the intervention was implemented as planned; and (5) describe the extent to which treatment and control or comparison groups received the intended services of the intervention, if applicable. Sources of qualitative information proposed for collection include: (1) exploratory discussions during site recruitment; (2) in-person or telephone discussions with individuals and/or groups from selected sites; and (3) focus groups.

---

Authorizing Statute(s): None

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 44157	07/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 29578	05/12/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 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 request for a new information collection.

---

Annual Cost to Federal Government: $9,962,512

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 05/13/2016

---