Employment Transition Model

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRA Signature Form-ETM_20260305.pdf	Supplementary Document	Uploaded 2026-04-13	Available
Kansas Feedback on ETM Evaluation Data Collection.pdf	Public Comments	Uploaded 2026-03-30	Available
2.ETM Part B_FINAL.docx	Supporting Statement B	Uploaded 2026-03-18	Available
1.ETM Part A_REVISED.docx	Supporting Statement A	Uploaded 2026-04-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279650	Families of ETM Youth Customer Satisfaction	Other-Survey	New
279632	Information on Outcomes Recorded by ETM and AJC Staff	Other-Survey	New
279631	Information on Outcomes from ETM Youth	Other-Survey	New
279630	ETM Partners Customer Satisfaction	Other-Survey	New
279629	ETM Employers Customer Satisfaction	Other-Survey	New
279627	ETM Youth Customer Satisfaction	Other-Survey	New
279626	Semi-Structured Interviews with Employers	Other-Interview Guide	New
279625	Semi-Structured Interviews with Parents and Guardians of ETM Youth	Other-Interview Guide	New
279624	Semi-Structured Interviews with ETM Youth	Other-Interview Guide	New
279623	Semi-Structured Interviews with ETM Local Site Administrators on Partnering Activities	Other-Interview Guide	New
279622	Partnering List for ETM Local Site Administrators	Other-Partner List	New
279621	Semi-Structured Interviews With ETM Case Managers	Other-Interview Guide	New
279620	Semi-Structured Interviews With ETM Local Site Administrators	Other-Interview Guide	New
279619	Semi-Structured Interviews With Project Directors	Other-Interview Guide	New
279618	Service Receipt Data for ETM Youth	Other-Survey	New
279617	Youth Referral Information Completed by ETM and Partner Staff	Other-Survey	New
279616	Baseline Intake Data from ETM Youth	Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 202603-1290-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Employment Transition Model
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: 05/12/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	11,208	0
Time Burden (Hours)	1,558	0
Cost Burden (Dollars)	15,000	0

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Abstract: DOL is funding a total of $67 million in grants to the Kansas Department of Commerce and to state workforce agencies in Connecticut, Minnesota, and New York. The purpose of the grant is to help youth and young adults with disabilities (Y&YAD), ages 14 to 24, who are eligible for Workforce Innovation and Opportunity Act (WIOA) Title I services, successfully transition into the workforce. Y&YAD often face significant challenges during their transition to employment, and the grant is designed to address those barriers. The ETM Demonstration gave five-year grants to these states to: (1) identify, develop, and scale evidence-based strategies that improve work-related outcomes among Y&YAD; and (2) increase states’ capacity to create innovative employment strategies for them and their families. DOL needs data on program implementation and Y&YAD outcomes to monitor grant performance and measure the effectiveness of innovative practices. These data are necessary for ensuring that grantees are held accountable for achieving their programs’ goals and objectives as stated in their grant application, including the number of Y&YAD served over time, the types of services provided, and the economic self-sufficiency outcomes of participating Y&YAD. The evaluation will analyze the four grantees’ programs to build evidence on effective strategies that enable Y&YAD in successfully transitioning into the workforce and to inform future practice and policy at DOL.

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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:
	90 FR 45257	09/19/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 25926	05/12/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 17

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Intake Data from ETM Youth
ETM Employers Customer Satisfaction
ETM Partners Customer Satisfaction
ETM Youth Customer Satisfaction
Families of ETM Youth Customer Satisfaction
Information on Outcomes Recorded by ETM and AJC Staff
Information on Outcomes from ETM Youth
Partnering List for ETM Local Site Administrators
Semi-Structured Interviews With ETM Case Managers
Semi-Structured Interviews With ETM Local Site Administrators
Semi-Structured Interviews With Project Directors
Semi-Structured Interviews with ETM Local Site Administrators on Partnering Activities
Semi-Structured Interviews with ETM Youth
Semi-Structured Interviews with Employers
Semi-Structured Interviews with Parents and Guardians of ETM Youth
Service Receipt Data for ETM Youth
Youth Referral Information Completed by ETM and Partner Staff

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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	11,208	0	0	11,208	0	0
Annual Time Burden (Hours)	1,558	0	0	1,558	0	0
Annual Cost Burden (Dollars)	15,000	0	0	15,000	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 collection and therefore not yet on the OMB inventory.

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Annual Cost to Federal Government: $773,697

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.     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: 05/12/2026

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