Youth Transition Exploration Demonstration (YTED)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part B -Supporting Statement Part A - 0960-NEW Youth Transition Exploration Demonstration (YTED).docx	Supporting Statement B	Uploaded 2024-10-03	Repair queued
Supporting Statement Part B -Supporting Statement Part A - 0960-NEW Youth Transition Exploration Demonstration (YTED).docx	Supporting Statement B	Uploaded 2024-10-03	Repair queued
Supporting Statement Part A - 0960-NEW Youth Transition Exploration Demonstration (YTED).docx	Supporting Statement A	Uploaded 2024-10-03	Available
Supporting Statement Part A - 0960-NEW Youth Transition Exploration Demonstration (YTED).docx	Supporting Statement A	Uploaded 2024-10-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271103	Qualitative data collection with treatment group members	Other-YTED Qualitative Interview Topic	New
271102	Qualitative data collection with site staff	Other-YTED Qualitative Interview Topics	New
271101	12-month follow-up survey	Other-YTED Advance Letter	New
271100	Baseline survey	Other-YTED Baseline Survey	New
271099	Informed consent form and release form	Other-YTED Consent Form	New

ICR Details

OMB Control No: 0960-0843	ICR Reference No: 202409-0960-011
Status: Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Youth Transition Exploration Demonstration (YTED)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/19/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/03/2024
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	36 Months From Approved
Responses	2,008	0	0
Time Burden (Hours)	529	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: YTED will provide SSA with empirical evidence on the impact of the intervention on youth in several outcome areas: (1) employment and earnings; (2) SSI and SSDI benefit receipt; and (3) other related outcomes, such as satisfaction and well-being. A rigorous evaluation of YTED is important to help SSA and other interested parties assess promising options to improve employment-related outcomes and decrease benefit receipts. Mathematica is directing YTED and evaluating it via a randomized controlled trial.

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Authorizing Statute(s): None

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:
	89 FR 53472	06/29/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 80302	10/02/2024
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
12-month follow-up survey
Baseline survey
Informed consent form and release form
Qualitative data collection with site staff
Qualitative data collection with treatment group members

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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	2,008	0	0	2,008	0	0
Annual Time Burden (Hours)	529	0	0	529	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 data collection that increases the public reporting burden. See the chart above for the new burden figures.

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Annual Cost to Federal Government: $1,124,119

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.     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.     Yes

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: 10/03/2024

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