Evaluation of the Helen Keller National Center for Deaf-Blind Youths and Adults

Forms and Documents

Document Name	Status
Telephone Interview with Family Members Form and Instruction	New
Email Survey for VR Agencies Form and Instruction	New
Deaf-Blind Consumers Interview Form and Instruction	New
Telephone Interview with Service Providers Form and Instruction	New
Telephone Interview with VR Agency Staff Form and Instruction	New
HKNC OMB Supporting Statement Part B 07-07-10.docx Supporting Statement B	2010-07-08
HKNC OMB Supporting Statement Part A 07-07-10.docx Supporting Statement A	2010-07-08

IC Document Collections

IC ID	Document Title	Status
193717	Telephone Interview with Family Members Form and Instruction	New
193716	Email Survey for VR Agencies Form and Instruction	New
193715	Deaf-Blind Consumers Interview Form and Instruction	New
191651	Telephone Interview with Service Providers Form and Instruction	New
191650	Telephone Interview with VR Agency Staff Form and Instruction	New

ICR Details

OMB Control No: 1820-0691	ICR Reference No: 200912-1820-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: ED/OSERS	Agency Tracking No: 4157
Title: Evaluation of the Helen Keller National Center for Deaf-Blind Youths and Adults
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: 07/12/2010
	Date Received in OIRA: 12/29/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	36 Months From Approved
Responses	195	0	0
Time Burden (Hours)	242	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is an evaluation of the Helen Keller National Center for Deaf-Blind Youths and Adults (HKNC), which provides services designed to equip clients to live independently in their communities and/or to enhance their ability to secure meaningful employment.

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Authorizing Statute(s): US Code: 29 USC 1903 Name of Law: Rehabilitation Act of 1973
  

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:
	74 FR 53224	10/16/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 66962	12/17/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Telephone Interview with Service Providers	N/A	Telephone Interview with Service Providers
Telephone Interview with VR Agency Staff	N/A	Telephone Interview VR Agency Staff
Email Survey for VR Agencies	N/A	Email Survey for VR Agencies
Deaf-Blind Consumers Interview	N/A	Deaf-Blind Consumers Interview
Telephone Interview with Family Members	N/A	Family Member Telephone Interview

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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	195	0	0	195	0	0
Annual Time Burden (Hours)	242	0	0	242	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 collection

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Annual Cost to Federal Government: $300,000

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]? 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: 12/29/2009

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