The Evaluation of the Pathway Home Grant Program (Pathway Home Evaluation)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PHE QED Participant Consent Form_Jan2023_Comparison_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Available
PHE QED Participant Consent Form_Jan2023_Comparison_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Repair queued
PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Available
PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Repair queued
PHE QED Baseline Information Form_Jan2023_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Available
PHE QED Baseline Information Form_Jan2023_trcks_forOMB.docx	Supplementary Document	Uploaded 2023-01-31	Repair queued
PHE OMB non sub change memo 2023_1_26.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-01-27	Available
PHE OMB non sub change memo 2023_1_26.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-01-27	Repair queued
PHE_OMB1_Attach H_Pre-Release Focus Group Consent Form_08312021_toDOL.docx	Supplementary Document	Uploaded 2022-08-30	Available
PHE_OMB1_Attach H_Pre-Release Focus Group Consent Form_08312021_toDOL.docx	Supplementary Document	Uploaded 2022-08-30	Repair queued
PHE_OMB1_Attach G_Baseline Consent Form_08312021_toDOL.docx	Supplementary Document	Uploaded 2022-08-30	Available
PHE_OMB1_Attach G_Baseline Consent Form_08312021_toDOL.docx	Supplementary Document	Uploaded 2022-08-30	Repair queued
PRA Signature Form_Pathway Home_(2022_0217).pdf	Supplementary Document	Uploaded 2022-08-30	Available
PRA Signature Form_Pathway Home_(2022_0217).pdf	Supplementary Document	Uploaded 2022-08-30	Repair queued
T3-086_PHE_OMB1_Supporting Statement Part B_with QED_clean.docx	Supporting Statement B	Uploaded 2022-08-30	Available
T3-086_PHE_OMB1_Supporting Statement Part B_with QED_clean.docx	Supporting Statement B	Uploaded 2022-08-30	Repair queued
Pathway Home Grant Evaluation_OMB1_Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2022-08-30	Available
Pathway Home Grant Evaluation_OMB1_Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2022-08-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
255695	Staff Interview Topic Guide - Partner staff administrators	Other-Information form	Unchanged
255694	Staff Interview Topic Guide - Grant administrators	Other-Information form	Unchanged
255693	Staff Interview Topic Guide - Frontline staff	Other-Information form	Unchanged
255692	Pre-Release Focus Group Topic Guide	Other-Information form	Unchanged
255691	Post-Release Interview Topic Guide	Other-Information form	Unchanged
255687	Grantee Survey	Other-survey	Unchanged
255686	Facility Survey	Other-Survey	Unchanged
255685	Baseline Information Form	Other-Information form	Modified

ICR Details

OMB Control No: 1290-0039	ICR Reference No: 202301-1290-001
Status: Historical Active	Previous ICR Reference No: 202208-1290-002
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: The Evaluation of the Pathway Home Grant Program (Pathway Home Evaluation)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/06/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2025	08/31/2025	08/31/2025
Responses	1,138	0	1,138
Time Burden (Hours)	512	0	512
Cost Burden (Dollars)	0	0	0

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Abstract: The Chief Evaluation Office (CEO) in the U.S. Department of Labor (DOL) has commissioned an evaluation of the Pathway Home grant program. The Evaluation of the Pathway Home Grant Program (Pathway Home Evaluation) offers a unique opportunity to build knowledge about the implementation and effectiveness of these programs.

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Authorizing Statute(s): PL: Pub.L. 113 - 128 169 Name of Law: Workforce Innovation and Opportunity Act (WIOA)
  

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 60917	11/04/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 44426	07/26/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Information Form
Facility Survey
Grantee Survey
Post-Release Interview Topic Guide
Pre-Release Focus Group Topic Guide
Staff Interview Topic Guide - Frontline staff
Staff Interview Topic Guide - Grant administrators
Staff Interview Topic Guide - Partner staff administrators

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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	1,138	1,138	0	0	0	0
Annual Time Burden (Hours)	512	512	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:

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Annual Cost to Federal Government: $292,035

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? 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: 01/31/2023

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