Self-Employment Training (SET) Demonstration Evaluation

Forms and Documents

Document Name	Status
SET_Demonstration_Follow-up_Survey_Signature (2016_0113).pdf Supplementary Document	2016-01-14
1205-0505 Supporting Statement_Part A_2016-02-08.docx Supporting Statement A	2016-02-08
1205-0505 Part B_2016-02-08.docx Supporting Statement B	2016-02-08

IC Document Collections

IC ID	Document Title	Status
203963	Service Termination Information Other-Participant Service Termination Form	Removed
203962	Seed Capital Request Form, Self-Employment Advisors Other-seed capital request	Removed
203961	Seed Capital Request Form, SET Program Participants Other-seed capital request	Removed
203960	Participant Tracking Data Other-monthly participant tracking	Removed
203959	Follow-Up Survey for Self-Employment Training (SET) Demonstration Evaluation Other-survey	Modified
203958	Site Visits, Additional MDO & AJC Staff, etc Other-protocol	Removed
203957	Site Visits, Self-Employment Advisors, etc Other-site visit protocols	Removed
203956	Case Study Interviews Other-protocol	Removed
203955	Applicants to the Program Other-Application for the Program	Removed

ICR Details

OMB Control No: 1205-0505	ICR Reference No: 201512-1205-005
Status: Historical Active	Previous ICR Reference No: 201408-1205-005
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Self-Employment Training (SET) Demonstration Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/20/2016
	Date Received in OIRA: 02/08/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	09/30/2017	06/30/2016
Responses	1,080	0	10,002
Time Burden (Hours)	360	0	4,277
Cost Burden (Dollars)	0	0	0

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Abstract: Clearance is being requested for an extension to continue administering a follow-up survey. The extension will allow additional time to locate sample members and will lead to a higher response rate. For both program and control group members, the follow-up survey provides data on the outcomes of recipients 18 months after random assignment. An advance letter is mailed to study members shortly before fielding of the survey begins and provides information about the content of the follow-up survey, average administration time, and how to access the web-based instrument. Based on prior experience conducting similar surveys, the response rate is expected to be about 70 – 80 percent (that is, approximately 2,100 – 2,400 SET study participants are expected to complete the follow-up survey). Descriptions of the major content areas of the SET follow-up survey follow. Unless otherwise noted, the information collected in the follow-up survey will be collected for use by the study team as an outcome in the impact analysis. This extension request proposes no changes to the data collection instrument.

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Authorizing Statute(s): US Code: 29 USC 49(c) Name of Law: The Workforce Investment Act
   PL: Pub.L. 112 - 96 2183(b)(1) Name of Law: The Middle Class Tax Relief and Job Creation Act of 2012
   PL: Pub.L. 105 - 220 172 Name of Law: The Workforce Investment Act
   PL: Pub.L. 113 - 128 169 Name of Law: The Workforce Innovation and Opportunity 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:
	80 FR 62572	10/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6543	02/08/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Seed Capital Request Form, Self-Employment Advisors
Participant Tracking Data
Service Termination Information
Follow-Up Survey for Self-Employment Training (SET) Demonstration Evaluation
Applicants to the Program
Case Study Interviews
Site Visits, Self-Employment Advisors, etc
Site Visits, Additional MDO & AJC Staff, etc
Seed Capital Request Form, SET Program Participants

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ICR Summary 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	1,080	10,002	0	-8,402	-520	0
Annual Time Burden (Hours)	360	4,277	0	-3,744	-173	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The proposed extension will not change the total amount of burden associated with the administration of the follow-up survey. Total burden is expected to remain at the approved amount of 800 (2,400 interviews × 20 minutes per interview).

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Annual Cost to Federal Government: $564,373

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: 02/08/2016

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