Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1290-0012
ICR Reference No:
201609-1290-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
DOL/OS
Agency Tracking No:
Title:
Cascades Job Corps College and Career Academy Pilot Evaluation
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 without change
Conclusion Date:
02/06/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/05/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/29/2020
36 Months From Approved
Responses
1,852
0
0
Time Burden (Hours)
372
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This ICR supports an impact and implementation evaluation of the Cascades Job Corps College and Career Academy Pilot program. More specifically, this ICR is the first in a series of requests that correspond to an array of data collection activities for the evaluation of the CCCA pilot. The OASP seeks approval in this submission for: (1) a baseline information form to support the impact study, (2) tracking data to support the planned 18-month follow-up survey, and (3) stakeholder interview and student focus group discussion guides to support the implementation study.
Authorizing Statute(s):
US Code:
29 USC 3224
Name of Law: Workforce Innovation and Opportunity Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 41598
06/27/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 87082
12/02/2016
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
Baseline Information Form
Follow-up Tracking Form
Interview Protocol - Employer Calls
Interview Protocol – Academy Director, College and Career Dean, and College Preparation Manager
Interview Protocol – Admission and Placement Director and Placement Officer
Interview Protocol – IT Pathway Manager and Healthcare Pathway Manager
Interview Protocol – Other Center Directors
Interview Protocol – Skagit Valley College Liaison and Sedro-Wooley School District Liaison
Interview Protocol – Social Development Director
Interview Protocol – Student Focus Group
ICR Summary 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
1,852
0
0
1,852
0
0
Annual Time Burden (Hours)
372
0
0
372
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 new information collection.
Annual Cost to Federal Government:
$233,184
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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?
Uncollected
Agency Contact:
Molly Irwin 202 693-5091 irwin.molly.e@dol.gov
Common Form ICR:
No
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:
12/05/2016
An official website of the United States government
The .gov means it's official.
The site is secure.
