Job Search Assistance Strategies (JSA) Evaluation - Contact updates, Interim Surveys and Six-Month Follow-up Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Memo on MN and MI JSA Staff Survey Modifications_3 15 17 edits.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-03-15	Available
Memo to OMB_Changes to JSA Followup Survey and Incentive_rev 8-12-16 clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-08-23	Available
JSA OMB - Attachment E - 60-Day Notice July 15 2015.docx	Supplementary Document	Uploaded 2015-11-19	Repair queued
JSA OMB - Attachment D - Prenotification Letter for 6-Month Survey - 11.17.15.docx	Supplementary Document	Uploaded 2015-11-19	Available
JSA OMB - Attachment G - Revised Informed Consent - November 2014.doc	Supplementary Document	Uploaded 2014-11-05	Available
JSA OMB Attachment I Survey Reminder Email - July 2014.docx	Supplementary Document	Uploaded 2014-08-20	Available
JSA OMB - Attachment G - Revised Informed Consent - November 2014.doc	Supplementary Document	Uploaded 2014-11-05	Available
JSA OMB Attachment F JSA Supervisor Survey Screen Shots.pdf	Supplementary Document	Uploaded 2014-08-20	Available
JSA OMB Attachment D JSA Staff Survey Screen Shots.pdf	Supplementary Document	Uploaded 2014-08-20	Available
JSA - FULL OMB Supporting Statement B - Revised 2.28.17_clean.docx	Supporting Statement B	Uploaded 2017-03-15	Available
JSA - Supporting Statement A - Revised - 3 15 17.docx	Supporting Statement A	Uploaded 2017-03-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226248	Staff Survey - Full length, Michigan	Other-Survey	New
226082	Staff Survey - Shortened Version	Other-Survey	New
219036	Participant 6-month Follow-up Survey	Other-Survey	Unchanged
219035	Interim tracking surveys	Other-Survey	Unchanged
219034	Contact update form	Other-Contact Info	Unchanged
212719	Semi-structured Interview	Other-Interview	Unchanged
212718	Staff Survey - Full Length	Other-Survey	Modified
212717	Baseline Information Form	Other-BIF	Modified

ICR Details

OMB Control No: 0970-0440	ICR Reference No: 201703-0970-006
Status: Historical Active	Previous ICR Reference No: 201608-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: 20308
Title: Job Search Assistance Strategies (JSA) Evaluation - Contact updates, Interim Surveys and Six-Month Follow-up Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/31/2017
	Date Received in OIRA: 03/17/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	02/28/2018	02/28/2018
Responses	14,828	0	15,095
Time Burden (Hours)	3,183	0	3,270
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of Planning, Research and Evaluation (OPRE) in the Administration for Children and Families (ACF) requests OMB clearance for three data collection activities for the Job Search Assistance (JSA) Strategies Evaluation. The goal of the JSA evaluation is to determine what type of job search assistance strategies are most effective in helping Temporary Assistance for Needy Families (TANF) and other cash assistance applicants and recipients find employment and increase their earnings. The JSA Evaluation contains both an impact study and an implementation study. The impact study will randomly assign individuals to different approaches for providing job search assistance and then will compare their employment and earnings to determine their relative effectiveness in moving TANF recipients to work and increasing their earnings. The implementation study will document services received under each approach for providing job search assistance and provide operational lessons. In October 2013, the JSA Evaluation received approval from the Office of Management and Budget (OMB) for a first set of data collection instruments for the JSA Evaluation, specifically for the field assessment and site selection process. The current submission seeks OMB approval for three additional data collection efforts related to a follow-up survey data administered to sample members: Contact update form, interim tracking surveys, and a six-month follow-up survey.

---

Authorizing Statute(s): US Code: 42 USC 613 Name of Law: Social Security Act: Research, Evaluations and National Studies
  

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:
	80 FR 41505	07/15/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 72969	11/23/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Contact update form
Baseline Information Form
Staff Survey - Full Length
Semi-structured Interview
Interim tracking surveys
Participant 6-month Follow-up Survey
Staff Survey - Shortened Version
Staff Survey - Full length, Michigan

---

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	14,828	15,095	0	-267	0	0
Annual Time Burden (Hours)	3,183	3,270	0	-87	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This evaluation involves revised data collection that reduces the overall public reporting burden under this OMB number. Section A.12 documents in the decrease in burden figures.

---

Annual Cost to Federal Government: $379,285

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

---

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: 03/17/2017

---