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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
LifeSet NonSub Change Request Memo v2 Clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-07-19	Repair queued
New Appendices N-T_Draft2 Clean.docx	Supplementary Document	Uploaded 2022-07-20	Repair queued
LifeSet NonSub Change Request Memo - 05-03-2022 (final).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-05-03	Repair queued
LifeSet NonSub Change Request Memo - 01-12-2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-01-13	Missing upstream
LifeSet NonSub Change Request Memo_Coginitive Test Updates_10.12.21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-10-12	Missing upstream
Appendices J-L in-person – clean.docx	Supplementary Document	Uploaded 2021-08-16	Missing upstream
Appendices A-I in-person_2022_07_18_Clean.docx	Supplementary Document	Uploaded 2022-07-20	Missing upstream
Appendix M IRB Approval Letter.pdf	Supplementary Document	Uploaded 2021-06-21	Repair queued
Appendix J- L virtual only (clean).docx	Supplementary Document	Uploaded 2021-08-16	Repair queued
Appendix A-I virtual only_2021_10_12- clean.docx	Supplementary Document	Uploaded 2021-10-12	Repair queued
Supporting Statement B - LifeSet - NonSub_v2 Clean.docx	Supporting Statement B	Uploaded 2022-07-19	Missing upstream
Supporting Statement A - LifeSet - NonSub_v2 Clean.docx	Supporting Statement A	Uploaded 2022-07-19	Missing upstream

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	Unchanged
247981	Instrument 4 - Site Visit 2 Focus Group Guide for Staff	Other-Focus Group	Unchanged
247980	Instrument 3- Site Visit 1 Interview Guide for Administrators	Other-Interview Guide	Unchanged
247979	Instrument 2- Administrative Data File	Other-Admin data list	Unchanged
247978	Instrument 1- Baseline Youth Survey	Other-Survey	Unchanged

ICR Details

OMB Control No: 0970-0577	ICR Reference No: 202207-0970-010
Status: Received in OIRA	Previous ICR Reference No: 202205-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/21/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	09/30/2024	09/30/2024
Responses	242	242
Time Burden (Hours)	172	172
Cost Burden (Dollars)	0	0

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Abstract: 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 in the transition to adulthood. The current LifeSet evaluation has two main components: an impact study to assess the effects of program participation on outcomes of interest and an implementation study to describe and document how LifeSet is implemented in New Jersey. The study is intended to contribute to the evidence base on program models that support young adults in the transition out of foster care. Project activities for the impact study include three waves of youth surveys and collection of administrative and program data. Project activities for the implementation study include interviews and focus groups with key staff and study youth. To date, 439 youth have been randomized and 193 youth have completed the baseline youth survey (Instrument 1). Due to the COVID-19 pandemic, collection of the baseline youth surveys to date has been conducted by phone. The project team’s IRB has recently approved in-person collection with procedures that mitigate the risk of participants contracting COVID-19. The project team’s IRB required additional language regarding COVID-19 risk be added to respondent consent forms and outreach materials. This nonsubstantive change is intended to ensure participants are fully informed on the risks of in-person participation and the option to participate by phone if desired. It does not alter the purpose of the data collection, nor the expected uses of the data as approved by OMB in September 2021, October 2021, January 2022, and May 2022.

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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	242	242	0	0	0	0
Annual Time Burden (Hours)	172	172	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: Changes to the burden table are requested as a result of a decrease in excess demand for the program. Please refer to B2 in Supporting Statement B for further details.

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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: 07/21/2022

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