View Information Collection Request (ICR) Package
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IC List
Burden
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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:
1290-0053
ICR Reference No:
202603-1290-001
Status:
Active
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
OIRA Conclusion Action:
Approved with change
Conclusion Date:
08/04/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/12/2026
Terms of Clearance:
OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection. Data collection is planned to end in Q4 of CY 2028. After data collection, several briefs and reports will be developed based on interim findings and presented to researcher and government parties, including OMB.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2029
36 Months From Approved
Responses
11,208
0
0
Time Burden (Hours)
1,558
0
0
Cost Burden (Dollars)
15,000
0
0
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.
Authorizing Statute(s):
None
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:
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
Number of Information Collection (IC) in this ICR:
17
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
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
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.
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
Agency Contact:
Bradley Hannon 202 693-5912
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:
05/12/2026
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