Evaluation of Employment Coaching for TANF and Other Related Populations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
nonsubstantive change memo_v4_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-04-05	Available
Attachment I Notifications_v10_clean.docx	Supplementary Document	Uploaded 2018-04-05	Available
Attachment A TANF Consent Form_v5_clean.docx	Supplementary Document	Uploaded 2018-04-05	Available
Supporting Statement B_v12_clean.docx	Supporting Statement B	Uploaded 2018-04-05	Available
Supporting Statement A_v15_cleanv2.docx	Supporting Statement A	Uploaded 2018-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227923	Video recordings of coaching sessions	Instruction	Unchanged
227922	Staff reports of program service receipt	Other-Staff reports	Modified
227920	In-depth participant interviews	Other-Interviews	Unchanged
227919	Staff survey	Other-Survey	Unchanged
227918	Semi-structured staff interviews	Other-Interviews	Unchanged
227917	First follow-up survey	Other-Survey	Unchanged
227916	Baseline data collection – staff	Other-Survey	Unchanged
227914	Baseline data collection – study participants	Other-Survey	Unchanged

ICR Details

OMB Control No: 0970-0506	ICR Reference No: 201804-0970-001
Status: Historical Active	Previous ICR Reference No: 201708-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of Employment Coaching for TANF and Other Related Populations
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 without change	Conclusion Date: 04/17/2018
	Date Received in OIRA: 04/06/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	03/31/2021	03/31/2021
Responses	56,936	0	56,936
Time Burden (Hours)	3,754	0	3,754
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for data collection activities conducted for the Evaluation of Employment Coaching for TANF and Other Related Populations. The objective of this evaluation is to provide information on coaching interventions implemented by Temporary Assistance for Needy Families (TANF) agencies and other employment programs. The evaluation will describe up to three coaching interventions and assess their effectiveness in helping people obtain and retain jobs, advance in their careers, move toward self-sufficiency, and improve their overall well-being. The evaluation will include both an experimental impact study and an implementation study. This information collection request (ICR) covers data collection activities for both an impact and an implementation study. Data collection activities for the impact study include: (1) baseline data collection and (2) two follow-up surveys (the first of which is covered in this ICR). Data collection activities for the implementation study include: (1) semi-structured staff interviews; (2) a staff survey; (3) in-depth participant interviews; (4) staff reports of participant service receipt; and (5) video recordings of coaching sessions. A subsequent ICR will request approval for the second follow-up survey of the impact study.

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Authorizing Statute(s): US Code: 42 USC 613 Name of Law: Section 413 of the Social Security Act, as amended by the FY 2017 Consolidated Appropriations 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:
	82 FR 28856	06/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 41024	08/29/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Baseline data collection – study participants
Baseline data collection – staff
Staff survey
In-depth participant interviews
First follow-up survey
Semi-structured staff interviews
Staff reports of program service receipt
Video recordings of coaching sessions

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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	56,936	56,936	0	0	0	0
Annual Time Burden (Hours)	3,754	3,754	0	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,658,374

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 04/06/2018

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