Disability Employment Initiative Evaluation

Forms and Documents

Document Name	Status
Form 1 Site Visit Interviews - Other Staff Form	New
Form 1 Site Visit Staff Interviews Form	New
OMB part B R5-6 DEI ver 6.0 9-9-16 ch.docx Supporting Statement B	2016-10-24
Signed Approval from CEO 9-17-15.pdf Supplementary Document	2016-10-24
OMB part A R5 DEI Revised - SMP.docx Supporting Statement A	2016-11-16

IC Document Collections

IC ID	Document Title	Status
224130	Comparison Group Survey & PTS Instruction	New
224129	Participant Focus Groups Instruction	New
224128	Site Visit Interviews - Other Staff Form	New
224061	Site Visit Staff Interviews Form	New

ICR Details

OMB Control No: 1230-0010	ICR Reference No: 201610-1230-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ODEP	Agency Tracking No:
Title: Disability Employment Initiative 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: 03/06/2017
	Date Received in OIRA: 01/11/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	5,719	0	0
Time Burden (Hours)	901	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Information for the Disability Employment Initiative Evaluation will be collected through annual site visits, a participant tracking system, and a survey. The DEI was designed to improve educational, training and employment opportunities and outcomes of youth and adults with disabilities by refining and expanding already identified successful public workforce strategies. The study will use two distinct quasi-experimental design (QED) study designs to determine the impact of DEI interventions on participant outcomes. Information collection relied heavily on previous control number 1230-0006.

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Authorizing Statute(s): PL: Pub.L. 113 - 125 407 Name of Law: 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:
	81 FR 1446	01/12/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 3362	01/11/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Site Visit Interviews - Other Staff	1	Site Visit Interview DEI General Domain Protocol ver 1.0
Participant Focus Groups	1	Focus Group Moderators Guide
Comparison Group Survey & PTS
Site Visit Staff Interviews	1, 1	Site Visit Interview DEI General Domain Protocol ver 1.0 ,   TTW Topic Guide

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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	5,719	0	0	5,719	0	0
Annual Time Burden (Hours)	901	0	0	901	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 is a new data collection.

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Annual Cost to Federal Government: $874,695

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: 01/11/2017

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