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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:
0970-0577
ICR Reference No:
202106-0970-004
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/ACF
Agency Tracking No:
OPRE
Title:
OPRE Study: Evaluation of LifeSet [Impact and Implementation 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 with change
Conclusion Date:
09/16/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/24/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2024
36 Months From Approved
Responses
222
0
0
Time Burden (Hours)
160
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
ACF is seeking OMB approval to collect data for an impact and implementation evaluation of LifeSet. LifeSet is a therapeutic case management program that provides youth and young adults leaving foster care, juvenile justice, and mental health systems with the intensive in-home support and guidance they need to move towards youth-defined goals in multiple domains of independent living including education, housing, employment and financial security, health and safety, and social connections and support. The evaluation activities will be conducted in two phases. This current information collection covers Phase 1 activities of a baseline youth survey; interviews and focus groups with child welfare agency, LifeSet developer, and local LifeSet provider agencies staff; and collection of administrative data. A future request will cover Phase 2 activities of two waves of follow-up youth surveys; interviews with youth who receive LifeSet; focus groups with youth receiving LifeSet and youth receiving services as usual; additional interviews and focus groups with child welfare agency, LifeSet developer, and local LifeSet provider agencies staff; a survey of LifeSet frontline staff; and observations of LifeSet program activities. We do not intend for this information to be used as the principal basis for public policy decisions.
Authorizing Statute(s):
US Code:
42 USC 677
Name of Law: John H. Chafee Foster Care Program for Successful Transition to Adulthood
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:
86 FR 19892
04/15/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 33302
06/24/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Instrument 1- Baseline Youth Survey
Instrument 2- Administrative Data File
Instrument 3- Site Visit 1 Interview Guide for Administrators
Instrument 4 - Site Visit 2 Focus Group Guide for Staff
Instrument 5 - Site Visit 2 Interview Guide for Administrators
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
222
0
0
222
0
0
Annual Time Burden (Hours)
160
0
0
160
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 information collection request.
Annual Cost to Federal Government:
$529,300
Does this IC contain surveys, censuses, or employ statistical methods?
No
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
Agency Contact:
Molly Buck 202 205-4724 mary.buck@acf.hhs.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:
06/24/2021
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