Youth Career Connect Impact and Implementation Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
YCC_OMB Part A Justification_3 4 2015.docx	Supporting Statement A	Uploaded 2015-03-04	Available
79 FR 62467.pdf	Supplementary Document	Uploaded 2015-02-11	Available
YCC Parent BIF Consent Form 1 28 15.docx	Supplementary Document	Uploaded 2015-01-28	Available
YCC Student BIF Assent Form 1 28 15.docx	Supplementary Document	Uploaded 2015-01-28	Available
Approval - Part B.PDF	Supplementary Document	Uploaded 2015-01-27	Available
YCC_OMB Part B Justification_Jan_20_15.docx	Supporting Statement B	Uploaded 2015-01-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214760	YCC Site Visit Protocols (Students)	Other-null	New
214759	YCC Site Visit Protocols (Staff)	Other-YCC Site Visit Protocols	New
214758	YCC Grantee Survey	Other-null	New
214757	YCC Parent Baseline Information Form (Staff)	Other-null	New
214756	YCC Student Baseline Information Form (Staff)	Other-null	New
214754	YCC Parent Baseline Information Form (individuals)	Other-null	New
214749	YCC Student Baseline Information Form (Individuals)	Other-YCC Student BIF	New

ICR Details

OMB Control No: 1291-0003	ICR Reference No: 201501-1291-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/OASAM	Agency Tracking No:
Title: Youth Career Connect Impact and Implementation Evaluation
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 without change	Conclusion Date: 04/15/2015
	Date Received in OIRA: 03/06/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved
Responses	4,246	0	0
Time Burden (Hours)	1,186	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Labor (DOL), is undertaking the Evaluation of Youth Career Connect (YCC). The overall aims of the evaluation are to determine the extent to which the YCC program improves high school students' educational and employment outcomes and to assess whether program effectiveness varies by students' and grantees' characteristics. The evaluation will be based on a rigorous random assignment design in which program applicants will be randomly assigned to a treatment group (who will be able to receive YCC program services) or a control group (who will not).

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Authorizing Statute(s): US Code: 29 USC 2916a Name of Law: American Competitiveness and Workforce Improvement 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:
	79 FR 62467	10/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 12205	03/06/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
YCC Parent Baseline Information Form (individuals)
YCC Student Baseline Information Form (Staff)
YCC Site Visit Protocols (Staff)
YCC Parent Baseline Information Form (Staff)
YCC Grantee Survey
YCC Site Visit Protocols (Students)
YCC Student Baseline Information Form (Individuals)

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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	4,246	0	0	4,246	0	0
Annual Time Burden (Hours)	1,186	0	0	1,186	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 information collection supports program evaluation for a new grant program.

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Annual Cost to Federal Government: $39,341

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: 03/06/2015

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