Evaluation of the Transition Living Program

Forms and Documents

Document Name	Status
Form 1 Program Overview Survey: Prgram Staff Interview Guide Form and Instruction	Unchanged
Form 1 Program Overview Survey: Executive Director Form and Instruction	Unchanged
Form 1 Young Adult 18-Month Follow Up Form and Instruction	Unchanged
Form 1 Young Adult 15 Month Tracking Survey Form and Instruction	Unchanged
Form 1 Young Adult 9-Month Tracking Survey Form and Instruction	Unchanged
Form 1 Youth Development Survey Interview Guide Form	Unchanged
Form 1 Young Adult 12 Month Follow-Up Survey Form and Instruction	Unchanged
Form 1 Young Adult 6-Month Tracking Survey Form and Instruction	Unchanged
Form 1 Young Adult 3 Month Follow Up Survey Form and Instruction	Unchanged
Form 1 Young Adult Baseline Survey Form and Instruction	Unchanged
TLP Youth Consent Form_10-07-16_OMB rev cb.docx Supplementary Document	2016-10-14
TLP Parental Consent Form_10-07-16_OMB rev cb.docx Supplementary Document	2016-10-14
Memo - TLP Eval NonSub Change Request 101316.docx Justification for No Material/Nonsubstantive Change	2016-10-14
OMB Question about Amazon Gift Cards.docx Supplementary Document	2015-07-16
Attachment B_TLP_YouthSurvey_Items-Sources_2014.pdf Supplementary Document	2014-10-10
Attachment A_TLP_CrossWalk_Table of Measures 2014.docx Supplementary Document	2014-10-10
PART B Supporting Statement TLP 2015 7 20 15clean.docx Supporting Statement B	2015-07-21
PART A Supporting Statement TLP 2015 7 20.docx Supporting Statement A	2015-07-21

IC Document Collections

IC ID	Document Title	Status
213463	Program Overview Survey: Prgram Staff Interview Guide Form and Instruction	Unchanged
213462	Program Overview Survey: Executive Director Form and Instruction	Unchanged
213458	Young Adult 18-Month Follow Up Form and Instruction	Unchanged
213457	Young Adult 15 Month Tracking Survey Form and Instruction	Unchanged
213456	Young Adult 9-Month Tracking Survey Form and Instruction	Unchanged
193540	Youth Development Survey Interview Guide Form	Unchanged
189110	Young Adult 12 Month Follow-Up Survey Form and Instruction	Unchanged
189109	Young Adult 6-Month Tracking Survey Form and Instruction	Unchanged
189107	Young Adult 3 Month Follow Up Survey Form and Instruction	Unchanged
189105	Young Adult Baseline Survey Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0383	ICR Reference No: 201610-0970-009
Status: Historical Active	Previous ICR Reference No: 201410-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Transition Living Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/28/2016
	Date Received in OIRA: 10/14/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018	07/31/2018
Responses	7,348	0	7,348
Time Burden (Hours)	3,125	0	3,125
Cost Burden (Dollars)	0	0	0

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Abstract: The Transitional Living Program (TLP) is administered by Family and Youth Services Bureau (FYSB) through the U.S. Department of Health and Human Services (HHS) and is designed to provide long term housing and support to Runaway and Homeless Youth. Congress has requested that a study of TLP be conducted that reports on outcomes for youth exiting the program. "The study…should provide information on housing services available to youth upon exiting the program, including assistance in locating and retaining permanent housing and referrals to other residential programs. In addition, the study should identify housing models and placement strategies that prevent future episodes of homelessness." Thus, the central objective of the TLP evaluation is to investigate beyond the data contained in the RHYMIS system to find out what happens to TLP youth following the program exit.

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Authorizing Statute(s): PL: Pub.L. 106 - 71 42 Name of Law: The 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:
	79 FR 145	07/29/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58785	09/30/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Young Adult 9-Month Tracking Survey	1	Youth Tracking Survey
Young Adult 15 Month Tracking Survey	1	Young Adult 15 mos Tracking 2015
Program Overview Survey: Prgram Staff Interview Guide	1	Program Overview Program Staff
Young Adult 18-Month Follow Up	1	Young Adult 18 mos Follow Up 2015
Young Adult Baseline Survey	1	Young Adult Baseline Survey
Young Adult 3 Month Follow Up Survey	1	Young Adult 3 Month Survey 2015
Young Adult 6-Month Tracking Survey	1	Young Adult 6 mos Tracking 2015
Young Adult 12 Month Follow-Up Survey	1	Young Adult 12 mos Follow Up 2015
Youth Development Survey Interview Guide	1	TLP Grantee Survey Positive Youth Development
Program Overview Survey: Executive Director	1	Program Overview Executive Director

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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	7,348	7,348	0	0	0	0
Annual Time Burden (Hours)	3,125	3,125	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden has increased due to the demand for evidenced based programming and rigorous stands for program evaluation. As a result, the surveys have been revised to capture long term outcomes.

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Annual Cost to Federal Government: $452,658

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

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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: 10/14/2016

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