Evaluation of the Transition Living Program

Forms and Documents

Document Name	Status
Form Follow-up Survey Follow-up Survey-12 Months Form and Instruction	New
Form Follow-up Survey Follow-up Survey-6 months Form and Instruction	New
Form Grantee Survey Grantee Survey Form and Instruction	New
Form Service Log Service Log Form and Instruction	New
Form Exit Survey Exit Survey Form and Instruction	New
Form Baseline Survey Baseline Survey Form and Instruction	New
TLP Supporting Statement-SC final 3 31.doc Supporting Statement B	2009-05-04
TLP Supporting Statement-SC final 3 31.doc Supporting Statement A	2009-05-04

IC Document Collections

IC ID	Document Title	Status
189110	Follow-up Survey-12 Months Form and Instruction	New
189109	Follow-up Survey-6 months Form and Instruction	New
189108	Grantee Survey Form and Instruction	New
189107	Service Log Form and Instruction	New
189106	Exit Survey Form and Instruction	New
189105	Baseline Survey Form and Instruction	New

ICR Details

OMB Control No: 0970-0383	ICR Reference No: 200905-0970-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Transition Living Program
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 07/18/2009
	Date Received in OIRA: 05/11/2009
Terms of Clearance: ACF has requested to withdraw the collection and resubmit at a later time.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed collection is a set of surveys to be administered to youth in residential services (Part B, Transitional Living Program or TLP) to measure their long term outcomes and effective service strategies. In addition to collecting information on housing outcomes, the study will also consider the living, employment, education, and family situation of the youth before and after their time in the TLP. Grantees will also be surveyed on service methods and program structure. This information will be used to better understand the most effective practices in improving long-term outcomes of youth in an effort to guide program improvements.

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Authorizing Statute(s): PL: Pub.L. 106 - 71 42 Name of Law: Runaway and Homeless Youth Act
  

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:
	73 FR 50022	08/25/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 20321	05/01/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Follow-up Survey-12 Months	Follow-up Survey	Follow-up Survey
Baseline Survey	Baseline Survey	Baseline Survey
Exit Survey	Exit Survey	Exit Survey
Service Log	Service Log	Service Log
Grantee Survey	Grantee Survey	Grantee Survey
Follow-up Survey-6 months	Follow-up Survey	Follow-up Survey

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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.

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Annual Cost to Federal Government: $233,333

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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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: 05/11/2009

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