Information Collection Request

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

ICR 202211-0970-003 · OMB 0970-0577 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Appendix AD. Comments Received in Response to Federal Register Notice and ACF’s Responses.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Appendices X - AC - New for Phase 2_Draft3 Clean.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Appendix W_ Previously approved ICR - SSB.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Appendix V_ Previously approved ICR - SSA.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Appendix U_ Certificate of Confidentiality.pdf	Supplementary Document	Uploaded 2022-11-15	Repair queued
Follow up removed Appendices N-T_Clean.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Follow up removed_Appendices A-I in-person_2022_10_27_Clean.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Appendix M IRB Approval Letter.pdf	Supplementary Document	Uploaded 2021-06-21	Missing upstream
Appendices J-L virtual or in-person_2021_08_11.docx	Supplementary Document	Uploaded 2022-11-15	Missing upstream
Follow up removed_Appendix A-I virtual only_2022_10_27_Clean.docx	Supplementary Document	Uploaded 2022-11-15	Repair queued
Supporting Statement B - LifeSet Phase 2 Draft 4 Clean.docx	Supporting Statement B	Uploaded 2022-11-15	Repair queued
Supporting Statement A - LifeSet Phase 2 Draft 7.docx	Supporting Statement A	Uploaded 2022-11-15	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
256902	Instrument 11 – Screening Recruitment Phone Call Script for Young Adult Participants	Other-Call Script	New
256901	Instrument 10 – Site Visit 3 Focus Group Guide for Youth	Other-Focus Group Guide	New
256900	Instrument 9 – Site Visit 3 Interview Guide for Youth	Other-Interview Guide	New
256899	Instrument 8 – LifeSet Specialist Survey	Other-Survey	New
256894	Instrument 7 - Site Visit 3 Focus Group Guide for Staff	Other-Focus Group Guide	New
256893	Instrument 6 - Site Visit 3 Interview Guide for Administrators	Other-Interview Guide	New
247982	Instrument 5 - Site Visit 2 Interview Guide for Administrators	Other-Interview Guide	Removed
247981	Instrument 4 - Site Visit 2 Focus Group Guide for Staff	Other-Focus Group	Removed
247980	Instrument 3- Site Visit 1 Interview Guide for Administrators	Other-Interview Guide	Removed
247979	Instrument 2- Administrative Data File	Other-Admin data list	Modified
247978	Instrument 1- Baseline Youth Survey	Other-Survey	Modified

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/ACF
OMB Control No	0970-0577
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202207-0970-010
Agency Tracking No	OPRE
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31