Cascades Job Corps College and Career Academy Pilot Evaluation

Forms and Documents

Document Name	Status
CJC SupportDoc_Postcard_10-17-16.pdf Supplementary Document	2016-10-20
CJC SupportDoc_BIF Screenshots 10-17-16.docx Supplementary Document	2016-10-20
JC Cascades OMB Package Supporting Statement Part A 11-28-16.docx Supporting Statement A	2016-11-28
CJC SupportDoc_ Informed Consent Form_Parent 10-17-16.docx Supplementary Document	2016-10-20
CJC SupportDoc_Informed Consent Form_Applicant 10-17-16.docx Supplementary Document	2016-10-20
CJC SupportDoc_Youth Assent Form 10-17-16.docx Supplementary Document	2016-10-20
Job Corps Cascades FRN Comments.pdf Supplementary Document	2016-09-07
job corps cascades part B review signoff.pdf Supplementary Document	2016-09-07
60 day FRN.pdf Supplementary Document	2016-09-02
JC Cascades OMB Package Supporting Statement Part B 11-28-16.docx Supporting Statement B	2016-11-28

IC Document Collections

IC ID	Document Title	Status
223432	Follow-up Tracking Form Other-tracking from	New
223431	Interview Protocol – Student Focus Group Other-focus group protocol	New
223430	Interview Protocol – Other Center Directors Other-interview protocol	New
223429	Interview Protocol - Employer Calls Other-interview protocol	New
223428	Interview Protocol – Skagit Valley College Liaison and Sedro-Wooley School District Liaison Other-Interview protocol	New
223427	Interview Protocol – Social Development Director Other-Interview protocol	New
223426	Interview Protocol – IT Pathway Manager and Healthcare Pathway Manager Other-Interview protocol	New
223363	Interview Protocol – Admission and Placement Director and Placement Officer Other-interview protocol	New
223362	Interview Protocol – Academy Director, College and Career Dean, and College Preparation Manager Other-Interview protocol	New
223359	Baseline Information Form Other-null	New

ICR Details

OMB Control No: 1290-0012	ICR Reference No: 201609-1290-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Cascades Job Corps College and Career Academy Pilot 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 without change	Conclusion Date: 02/06/2017
	Date Received in OIRA: 12/05/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved
Responses	1,852	0	0
Time Burden (Hours)	372	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR supports an impact and implementation evaluation of the Cascades Job Corps College and Career Academy Pilot program. More specifically, this ICR is the first in a series of requests that correspond to an array of data collection activities for the evaluation of the CCCA pilot. The OASP seeks approval in this submission for: (1) a baseline information form to support the impact study, (2) tracking data to support the planned 18-month follow-up survey, and (3) stakeholder interview and student focus group discussion guides to support the implementation study.

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Authorizing Statute(s): US Code: 29 USC 3224 Name of Law: Workforce Innovation and Opportunity 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:
	81 FR 41598	06/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 87082	12/02/2016
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Interview Protocol – Academy Director, College and Career Dean, and College Preparation Manager
Interview Protocol – Admission and Placement Director and Placement Officer
Interview Protocol – Student Focus Group
Interview Protocol – Social Development Director
Baseline Information Form
Interview Protocol – Skagit Valley College Liaison and Sedro-Wooley School District Liaison
Interview Protocol – IT Pathway Manager and Healthcare Pathway Manager
Interview Protocol - Employer Calls
Interview Protocol – Other Center Directors
Follow-up Tracking Form

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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	1,852	0	0	1,852	0	0
Annual Time Burden (Hours)	372	0	0	372	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 new information collection.

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Annual Cost to Federal Government: $233,184

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: 12/05/2016

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