Evaluation of the Transition Living Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Program Overview Program Staff	Form and Instruction	Removed	Available
Form 1 Program Overview Executive Director	Form and Instruction	Removed	Repair queued
Form 1 Young Adult 18 mos Follow Up 2015	Form and Instruction	Removed	Available
Form 1 Young Adult 15 mos Tracking 2015	Form and Instruction	Removed	Available
Form 1 Youth Tracking Survey	Form and Instruction	Removed	Available
Form 1 TLP Grantee Survey Positive Youth Development	Form	Removed	Available
Form 1 Young Adult 3 Month Survey 2015	Form and Instruction	Removed	Available
B. TLP Parental Consent Form_Outcomes Study_5-2-18_CLEAN_for OMB.docx	Supplementary Document	Uploaded 2018-05-04	Available
C. TLP_YouthBaselineSurvey_forNSchange_withBCF_CLEAN_20180502.docx	Supplementary Document	Uploaded 2018-05-04	Available
Memo - TLP Eval NonSub Change Request 031418.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-05-04	Available
OMB Question about Amazon Gift Cards.docx	Supplementary Document	Uploaded 2015-07-16	Available
SSB_TLPEval_NonSubChange_20180503_clean.doc	Supporting Statement B	Uploaded 2018-05-04	Available
SSA_TLPEval_NonSubChange_20180503_clean.doc	Supporting Statement A	Uploaded 2018-05-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213463	Program Overview Survey: Prgram Staff Interview Guide	Form and Instruction	Removed	Program Overview Program Staff
213462	Program Overview Survey: Executive Director	Form and Instruction	Removed	Program Overview Executive Director
213458	Young Adult 18-Month Follow Up	Form and Instruction	Removed	Young Adult 18 mos Follow Up 2015
213457	Young Adult 15 Month Tracking Survey	Form and Instruction	Removed	Young Adult 15 mos Tracking 2015
213456	Young Adult 9-Month Tracking Survey	Form and Instruction	Removed	Youth Tracking Survey
193540	Youth Development Survey Interview Guide	Form	Removed	TLP Grantee Survey Positive Youth Development
189110	Young Adult 12 Month Follow-Up Survey	Other-Survey	Modified
189109	Young Adult 6-Month Tracking Survey	Other-Survey	Modified
189107	Young Adult 3 Month Follow Up Survey	Form and Instruction	Removed	Young Adult 3 Month Survey 2015
189105	Young Adult Baseline Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0383	ICR Reference No: 201805-0970-001
Status: Historical Active	Previous ICR Reference No: 201703-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Transition Living Program
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: 05/11/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/04/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018	07/31/2018
Responses	1,800	0	7,348
Time Burden (Hours)	1,104	0	3,125
Cost Burden (Dollars)	0	0	0

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Abstract: This nonsubstantive change is limited to the data collection activities that were planned for the random assignment study involving surveys of youth enrolled in the TLP grantee sites. The proposed nonsubstantive change is necessary to obtain outcomes on youth when it was determined through a pilot study designed to examine the feasibility of the random assignment study with this particular program and population, would not be feasible to reach the target sample size of 1250 youth within the time frame for study completion. The purpose of the TLP Evaluation is to provide ACF with information about how youth who participate in the TLP fare over the short and longer term in the areas of stable housing, positive social connections, social and emotional well-being, and education or employment. The evaluation will also provide information on services available to youth during and after exiting the program, including assistance in locating and retaining permanent housing and referrals to other residential programs, and services for employment, education, health, and mental health. The collection involves three components: 1. A pilot study to test the feasibility of using a random assignment study design with the TLP and runaway and homeless youth; 2. Interviews with TLP staff as part of a qualitative study to gain insight into program implementation; and 3. Youth surveys as part of a quantitative study to understand program effects on youth outcomes. The first two data collection activities began in October 2016 and are complete.

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Authorizing Statute(s): PL: Pub.L. 110 - 378 119 Name of Law: The Runaway and Homeless Youth 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 145	07/29/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58785	09/30/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Program Overview Survey: Executive Director	1	Program Overview Executive Director
Program Overview Survey: Prgram Staff Interview Guide	1	Program Overview Program Staff
Young Adult 12 Month Follow-Up Survey
Young Adult 15 Month Tracking Survey	1	Young Adult 15 mos Tracking 2015
Young Adult 18-Month Follow Up	1	Young Adult 18 mos Follow Up 2015
Young Adult 3 Month Follow Up Survey	1	Young Adult 3 Month Survey 2015
Young Adult 6-Month Tracking Survey
Young Adult 9-Month Tracking Survey	1	Youth Tracking Survey
Young Adult Baseline Survey
Youth Development Survey Interview Guide	1	TLP Grantee Survey Positive Youth Development

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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	1,800	7,348	0	-5,548	0	0
Annual Time Burden (Hours)	1,104	3,125	0	-2,021	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: Changes in burden are the result of the nonsubstantive change regarding random assignment, and the fact that two data collection activities have been completed.

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Annual Cost to Federal Government: $452,658

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 05/04/2018

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