Transition Living Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
H. TLP_Follow Up Survey Invitation and Reminder Scripts_ 20180712_CLEAN.docx	Supplementary Document	Uploaded 2018-07-16	Available
G. Published 60-Day FRN.pdf	Supplementary Document	Uploaded 2018-07-16	Available
F. TLP_YouthSurvey_Items-Sources__20180502.xlsx	Supplementary Document	Uploaded 2018-07-16	Available
E. TLP Outcomes Study_Crosswalk_Table of Measures__20180502.xlsx	Supplementary Document	Uploaded 2018-07-16	Available
B. TLP Parental Consent Form_Outcomes Study_6-12-18_CLEAN.docx	Supplementary Document	Uploaded 2018-07-16	Available
A. TLP Youth Consent Form_Outcomes Study_6-12-18_CLEAN.docx	Supplementary Document	Uploaded 2018-07-16	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_Extension_20180712_CLEAN.docx	Supporting Statement B	Uploaded 2018-07-16	Available
SSA_TLPEval_Extension_20180712_CLEAN.docx	Supporting Statement A	Uploaded 2018-07-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
189110	Young Adult 12 Month Follow-Up Survey	Other-Survey	Modified
189109	Young Adult 6-Month Tracking Survey	Other-Survey	Modified
189105	Young Adult Baseline Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0383	ICR Reference No: 201807-0970-012
Status: Historical Active	Previous ICR Reference No: 201805-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Transition Living Program Evaluation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/18/2018
	Date Received in OIRA: 07/18/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2018
Responses	600	0	1,800
Time Burden (Hours)	368	0	1,104
Cost Burden (Dollars)	0	0	0

---

Abstract: The Family and Youth Services Bureau (FYSB) and the Office of Planning, Research, Evaluation (OPRE) in the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) are requesting an additional three years of approval for the currently approved information collection for the Evaluation of the Transitional Living Program (TLP) (OMB No. 0970-0383). The purpose of the approval is to continue data collection for the pre-post Youth Outcomes Study. The Evaluation of the Transitional Living Program is composed of three project components, two of which have been completed: 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 (Implementation Interviews); and 3) a Youth Outcomes Study that uses a pretest/posttest study design and data collected through youth surveys to measure changes in youth outcomes associated with participating in the TLP. Data collection for the first two project components (Pilot Study and program staff interviews) is complete. Data collection activities for the Youth Outcomes Study are expected to continue beyond the current OMB expiration date of July 31, 2018. As such, ACF is requesting a three- year approval to complete the planned data collection activities, which include enrolling youth in the study, surveying youth participants at enrollment (baseline), and again 6 months and 12 months after enrollment using previously approved data collection instruments.

---

Authorizing Statute(s): PL: Pub.L. 110 - 378 119 Name of Law: The Runaway and Homeless Youth Act
  

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:
	83 FR 22688	05/16/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 33934	07/18/2018
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Young Adult Baseline Survey
Young Adult 6-Month Tracking Survey
Young Adult 12 Month Follow-Up Survey

---

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	600	1,800	0	-1,200	0	0
Annual Time Burden (Hours)	368	1,104	0	-736	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current request extends the time for data collection over the next three years. Some previously approved ICs have been completed.

---

Annual Cost to Federal Government: $227,603

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

---

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: 07/18/2018

---