Cascades Job Corps College and Career Academy Pilot Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CJC_CoC Approval Letter_Signed_2.2017.pdf	Supplementary Document	Uploaded 2020-02-07	Available
signed_CEO Statistical Review Clearance Form_JC Cascades_2020_0122.pdf	Supplementary Document	Uploaded 2020-01-30	Available
CJC SupportDoc_Postcard_10-17-16.pdf	Supplementary Document	Uploaded 2016-10-20	Available
CJC SupportDoc_BIF Screenshots 10-17-16.docx	Supplementary Document	Uploaded 2016-10-20	Available
1290-0012 Supporting Statement A_updated_clean.docx	Supporting Statement A	Uploaded 2020-02-10	Available
CJC SupportDoc_ Informed Consent Form_Parent 10-17-16.docx	Supplementary Document	Uploaded 2016-10-20	Available
CJC SupportDoc_Informed Consent Form_Applicant 10-17-16.docx	Supplementary Document	Uploaded 2016-10-20	Available
CJC SupportDoc_Youth Assent Form 10-17-16.docx	Supplementary Document	Uploaded 2016-10-20	Available
job corps cascades part B review signoff.pdf	Supplementary Document	Uploaded 2016-09-07	Available
60 day FRN.pdf	Supplementary Document	Uploaded 2016-09-02	Available
JC Cascades OMB SSB 11-22-2019_updated 01.22.2020_clean.docx	Supporting Statement B	Uploaded 2020-01-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239898	Interview Protocol – Career Transition Readiness, Career Transition Services, Internship, and/or other Placement Services Overview	Other-Interview Protocol	New
239896	Interview Protocol - Non-Cognitive Social and Workplace Skills Development Services Overview	Other-Interview Protocol	New
239895	Interview Protocol – Education & Training Planning & Counseling Services Overview	Other-Interview Protocol	New
239894	Interview Protocol – Education & Training Services Overview	Other-Interview Protocol	New
223432	Follow-up Tracking Form	Other-Tracking Form	Modified
223431	Interview Protocol – Student Focus Group	Other-Interview Protocol	Modified
223430	Interview Protocol – Other Center Directors	Other-Interview Protocol	Modified
223429	Interview Protocol – Employer/ Service Provider Partners	Other-Interview Protocol	Modified
223428	Interview Protocol – College Services Overview	Other-Interview Protocol	Modified
223427	Interview Protocol – Community Culture, Student Support Systems, Student Rewards & Recognitions, and Disciplinary Policies	Other-Interview Protocol	Modified
223426	Interview Protocol – Trade/ Pathway Managers or Supervisors (IT and Healthcare Trade/ Pathway Overview)	Other-Interview Protocol	Modified
223363	Interview Protocol - Recruitment, Admissions, and Intake Services Overview	Other-Interview Protocol	Modified
223362	Interview Protocol – High School, High School Equivalency, Basic Education, and Education & Training Support Services Overview	Other-Interview Protocol	Modified
223359	Baseline Information Form	Other-null	Removed

ICR Details

OMB Control No: 1290-0012	ICR Reference No: 202001-1290-002
Status: Active	Previous ICR Reference No: 201609-1290-001
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Cascades Job Corps College and Career Academy Pilot Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/31/2020
	Date Received in OIRA: 02/27/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	03/31/2020
Responses	346	0	1,852
Time Burden (Hours)	65	0	372
Cost Burden (Dollars)	0	0	0

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Abstract: The Chief Evaluation Office of the U.S. Department of Labor (DOL) has commissioned an impact and implementation evaluation of the Cascades Job Corps College and Career Academy Pilot program. More specifically, this ICR is seeking a revision of previously approved ICR (1290-0012) for the data collection activities for the evaluation of the CCCA pilot. The OASP seeks approval in this submission for: (1) a baseline information form to support the impact study, (2) tracking data to support the planned 18-month follow-up survey, and (3) stakeholder interview and student focus group discussion guides to support the implementation study.

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Authorizing Statute(s): US Code: 29 USC 3224a 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:
	84 FR 56841	10/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 11103	02/26/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Interview Protocol – College Services Overview
Interview Protocol – Trade/ Pathway Managers or Supervisors (IT and Healthcare Trade/ Pathway Overview)
Interview Protocol - Recruitment, Admissions, and Intake Services Overview
Interview Protocol – Student Focus Group
Baseline Information Form
Interview Protocol – Education & Training Services Overview
Interview Protocol – Education & Training Planning & Counseling Services Overview
Interview Protocol – Career Transition Readiness, Career Transition Services, Internship, and/or other Placement Services Overview
Interview Protocol - Non-Cognitive Social and Workplace Skills Development Services Overview
Interview Protocol – Employer/ Service Provider Partners
Interview Protocol – Other Center Directors
Follow-up Tracking Form
Interview Protocol – Community Culture, Student Support Systems, Student Rewards & Recognitions, and Disciplinary Policies
Interview Protocol – High School, High School Equivalency, Basic Education, and Education & Training Support Services Overview

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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	346	1,852	0	-1,506	0	0
Annual Time Burden (Hours)	65	372	0	-307	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 is an extension request with changes. We are requesting to add additional site visits for semi-structured interviews. Some of the data collection activities (e.g., baseline information form) is no longer needed.

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Annual Cost to Federal Government: $253,288

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.     No

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: 02/27/2020

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