OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix M IRB Approval Letter.pdf	Supplementary Document	Uploaded 2021-06-21	Missing upstream
Appendices J-L Implementation Study-Staff Consent and Outreach.docx	Supplementary Document	Uploaded 2021-06-21	Repair queued
Appendices A-I Impact Study-Young Adult Services Study Consent and Outreach.docx	Supplementary Document	Uploaded 2021-06-21	Repair queued
Supporting Statement B - LifeSet - 5th Draft Clean.docx	Supporting Statement B	Uploaded 2021-06-21	Available
Supporting Statement A - LifeSet - 6th Draft Clean.docx	Supporting Statement A	Uploaded 2021-06-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247982	Instrument 5 - Site Visit 2 Interview Guide for Administrators	Other-Interview Guide	New
247981	Instrument 4 - Site Visit 2 Focus Group Guide for Staff	Other-Focus Group	New
247980	Instrument 3- Site Visit 1 Interview Guide for Administrators	Other-Interview Guide	New
247979	Instrument 2- Administrative Data File	Other-Admin data list	New
247978	Instrument 1- Baseline Youth Survey	Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 202106-0970-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/24/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	222	0
Time Burden (Hours)	160	0
Cost Burden (Dollars)	0	0

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Abstract: ACF is seeking OMB approval to collect data for an impact and implementation evaluation of LifeSet. LifeSet is a therapeutic case management program that provides youth and young adults leaving foster care, juvenile justice, and mental health systems with the intensive in-home support and guidance they need to move towards youth-defined goals in multiple domains of independent living including education, housing, employment and financial security, health and safety, and social connections and support. The evaluation activities will be conducted in two phases. This current information collection covers Phase 1 activities of a baseline youth survey; interviews and focus groups with child welfare agency, LifeSet developer, and local LifeSet provider agencies staff; and collection of administrative data. A future request will cover Phase 2 activities of two waves of follow-up youth surveys; interviews with youth who receive LifeSet; focus groups with youth receiving LifeSet and youth receiving services as usual; additional interviews and focus groups with child welfare agency, LifeSet developer, and local LifeSet provider agencies staff; a survey of LifeSet frontline staff; and observations of LifeSet program activities. We do not intend for this information to be used as the principal basis for public policy decisions.

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Authorizing Statute(s): US Code: 42 USC 677 Name of Law: John H. Chafee Foster Care Program for Successful Transition to Adulthood
  

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:
	86 FR 19892	04/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33302	06/24/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Instrument 1- Baseline Youth Survey
Instrument 2- Administrative Data File
Instrument 3- Site Visit 1 Interview Guide for Administrators
Instrument 4 - Site Visit 2 Focus Group Guide for Staff
Instrument 5 - Site Visit 2 Interview Guide for Administrators

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	222	0	0	222	0	0
Annual Time Burden (Hours)	160	0	0	160	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $529,300

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? No

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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: 06/24/2021

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