1

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) **SUPPORTING STATEMENT FOR PAPERWORK REDUCTION ACT SUBMISSION**  EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX

Revised XX/XX/XXXX RI N Number: XXXX

- XXXX (if applicable) **A. Justification** 1. Explain the circumstances that make the collection of information necessary. I dentify any legal or administrative requirements that necessitate the collection. Attach a hard copy of the appropriate section of each statute and regulation mandating or auth orizing the collection of information , or you may provide a valid URL link or paste the applicable section
. Please limit pasted text to no longer than 3 pages. Specify the review ty pe of the collection (new, revision, extension, reinstatement with change, reinstatement without change) . If revised, briefl y specify the changes. If a rulemaking is involved, make note of the sections or changed sections, if applicable. Pursuant to Section 106 of the Rehabilitation Act of 1973 , as amended b y the Workforce Inno vation and Opportunity Act (WIOA) , RSA is required to evaluate the performance of state vocational rehabilitation (VR) agencies on established standards and indicators. RSA is seeking a one ye ar extension of this information collection as changes in statute stemming from WI OA may result in either a modification to the information collection or the development of a new collection which accommodates a broad set of provisions of the statute regarding performance measures. As agencies who have not met performance levels have develope d PIPs and are reporting progress updates quarterl y it is important that agencies continue to implement strategies to reach specified standards of performance and report on their achievements to RSA. Until revised pursuant to changes under WIOA, current f ederal VR program regulations (34 CFR 361.82 thru 34 CFR 361.86) establish standards and indicators b y which RSA measures the performance of the state VR agencies. Evaluation Standard 1 measures employ ment outcomes using six indicators. To achieve succe ssful performance on Standard 1, a VR agency must meet or exceed the performance levels for at least four of the six indicators. In addition, the agency

must meet or exceed the performance level for two of the three primary indicators. An agency

that doe s not achieve the required minimum performance levels for Standard 1 during the fiscal year must submit a program improvement plan (PIP) for RSA approval pursuant to 34 CFR 361.89 (a). The PIP must contain goals established by the agency , including meas urable targets, b y which it will assess its progress toward meeting the required minimum performance levels, along with strategies for the achievement of the goals. In accordance with regulations at 34 CFR 361.89(c), RSA reviews an agency ’s progress towar d achieving the goals established in the PIP. For this purpose, it requires that an agency report its progress on a quarterl y basis. Should the agency

fail to sustain a satisfactory level of performance on Standard 1 for two2

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) consecutive fiscal years, RSA will request that the agency modify the PIP to achieve the required level of performance. As explained in response to Question 3, to promote the consistency of the information contained in the PIPs and the ability of RSA to assess a VR agency ’s completion of performance improvement goals and strategies therein, as well as to ease the burden on the VR agencies in the development of and reporting on the PI Ps . In FY 2011 RSA developed a new form and web based submission and reporting process
. Beginning in FY 2012, each of the VR agencies evaluated during the ye ar that RSA found to be out of compliance with fed eral performance standards use d this form located on the website to submit a PIP for RSA approval and r eport ed progress on goals and strategie s contained in the PIP on a quarterl y basis, until the agency

me t the performance criteria for each indicator of the PI P. 2. Indicate how, b y whom, and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received from the current collection. The PIP must contain goals established by the agency , including measurable targets, by which it will assess its progress toward meeting the required minimum performance levels, along with strategies for the achievement of the goals. In accordance with regulations at 34 CFR 361.89(c), RSA reviews an agency ’s progress toward achieving the goals established in the PIP. Using this information for each VR agency required to submit a PIP, RSA will be able to track the agency ’s progress on goals and strategies to improve performance and identify the need for technical assistance to enable i t to carry out the strategies. 3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or forms of information technology , e.g. permitting electronic submission of responses, and the basis for the decision of adopting this means of collection. Also describe any consideration given to using technology to reduce burden. Previously , RSA d id not use a web

- based sy stem for the submission of the PIPs and the reporting of progress, though it did provide a Word format template that the agencies which did not meet Standard 1 could (but were not required to) use to develop their PIPs. Since FY 2011 , VR agencies report their progress toward the achievement of the goals contained in the PIPs on a quarterl y basis using a web based s ys tem. The use of a consistent form and w eb

based submission process allow s the VR agencies to develop and report progress on the PIPs in a more efficient and timely manner, thus reducing the reporting burden they now experience. 4. Describe ef

forts to identify

duplication. Sho w specificall y wh y an y similar information alread y available cannot be used or modified for use for the purposes described in Item 2 above
. An agency

that does not achieve the required minimum performance levels for Standard 1 during the fiscal ye ar must submit a PI P for RSA approval pursuant to 34 CFR 361.89 (a).3

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) The PIP must contain goals established by the agency , including measurable targets, by which it will assess its progress toward meeting the required minimum performance levels, along with strate gies for the achievement of the goals. No similar information is available to RSA through other information collections. 5. If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden. A sma ll entity may be (1) a small business which is deemed to be one that is independently owned and operated and that is not dominant in its field of operation; (2) a small organization that is any not - for

- profit enterprise that is independentl y owned and oper ated and is not dominant in its field; or (3) a small government jurisdiction, which is a government of a city, count y, town, township, school district, or special district with a population of less than 50,000. The collection of information does not impa ct small businesses or other small entities. 6. Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequentl y, as well as an y technical or legal obstacles to reducing burden. In accordance with regulations at 34 CFR 361.89(c), RSA reviews an agency’s progress toward achieving the goals established in the PIP. For this purpose, it requires that an agency report its progress on a quarterl y basis. Should the agency fail to sustain a satisfactory level of performance on Standard 1 for two consecutive fiscal years, RSA will request that the agency modify the PIP to achieve the required level of performance. Because RSA uses the information contained in the PIPs in preparing its annual report to the President and Congress, current data of agencies on PIPs must be made available each ye ar. 7. Explain any

special circumstances that would cause an information collection to be conducted in a manner:

 requiring respondents to report inf ormation to the agency

more often than quarterl y;  requiring respondents to prepare a written response to a collection of information in fewer than 30 day s after receipt of it;  requiring respondents to submit more than an original and two copies of any document;  requiring respondents to retain records, other than health, medical, government contract, grant - in

- aid, or tax records for more than three y ears;  in connection with a statistical survey , that is not designed to produce valid and reliable results than can be generalized to the universe of stud y;  requiring the use of a statistical data classification that has not been reviewed and approved b y OMB;  that includes a pledge of confidentiality that is not supported by

authority established in statute or regu lation, that is not supported by disclosure and data security policies that are consistent with the pledge, or that unnecessarily impedes sharing of data with other agencies for compatible confidential use; or4

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable)  requiring respondents to submit proprietary tr ade secrets, or other confidential information unless the agency can demonstrate that it has instituted procedures to protect the information’s confidentiality to the extent permitted by law. T here are no special circumstances that require this informatio n collectio n to be conducted in an y manner listed above. 8. As applicable, state that the Department has published the 60 and 30 Federal Register notices as required b y 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency

in response to these comments. Specificall y address comments received on cost and hour burden. Describe efforts to consult with persons outside the agency to obtain their views on the availability

of data, frequency

of collection, the clarity

of instruction and record keeping, disclosure, or reporting format (if an y), and on the data elements to be recorded, disclosed, or reported. Consultation w ith representatives of those from whom information is to be obtained or those who must compile records should occur at least once every 3 y ears
– even if the collection of information activity is the same as in prior periods. There may be circumstances th at may

preclude consultation in a specific situation. These circumstances should be explained. During FY 2011, RSA engaged VR state agency representatives in a field testing process. During the first phase an electronic version of the PI P was made avai lable to participants to enter existing PI Ps. RSA solicited information via teleconference to gain input on ease of access, user interface, and ideas on improving the user experience. Field testing of the quarterl y progress updates occur red during July , 20 11. Public comment on this one

- year extension of the PI P form will be obtained through responses to notices published in the Federal Register. 9. Explain any

decision to provide any

pay ment or gift to respondents, other than remuneration of contractors or grantees with meaningful justification
. RSA has made no decision to provide an y pa ym ent or gift to respondents. 10. Describe an y assurance of confidentialit y provided to respondents and the basis for the assurance in statute, regulation, or agency policy . I f personally

identifiable information (PII) is being collected, a Privacy Act statement should be included on the instrument. Please provide a citation for the Sy stems of Record Notice and the date a Privacy I mpact Assessment was completed as indicated on the IC Data Form . A confidentiality statement with a legal citation that authorizes the pledge of confidentiality should be provided. Requests for this information are in accordance with the following ED and OMB policies: Privacy

Act of 1974, OMB Circular A

- 108

– Privacy Act Implementation

– Guidelines and Responsibilities, OMB Circular A

- 130 Appendix I

– Federal Agency5

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) Responsibilities for Maintaining Records About Individuals, OMB M

- 03
- 22

– OMB Guidance for Implementing the Privacy Provisions of the E

- Government Act of 2002, OMB M
- 06
- 15

– Safeguarding Personall y Identifiable Information, OM:6

- 104

– Privacy Act of 1974 (Collection, Use and Protection of Personally I dentifiable Information)
. If the collection is subject to the Privacy Act, the Privacy

Act statement is deemed sufficient with respect to confidentiality . I f there is no expectation of confidentiality , simply state that the Dep artment make s no pledge about the confidentiall y of the data. There was no assurance of confidentialit y, because the collection instrument does not collect individual, personal, or sensitive data. 11. Provide additional justification for an y questions of a s ensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private. The justification should include the reasons why the agency

considers the questions necessary , the specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and an y steps to be taken to obtain their consent. This report contains no questions of a sensitive nature. 12. Provide estimates of the hour burden of the collection of information. The statement should:

 Indicate the number of respondents by affected public ty

pe (federal government, individuals or households, private sector

– businesses or other for

- profit, private sector

– not - for

- profit institutions, far ms, state, local or tribal governments), frequency of response, annual hour burden, and an explanation of how the burden was estimated, including identification of burden ty pe: recordkeeping, reporting or third party

disclosure. All narrative should be in cluded in item 12. Unless directed to do so, agencies should not conduct special surveys to obtain information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potential respondents is desirable. If the hour burden on respondents is expected to vary widely because of differences in activity , size, or complexity , show the range of estimated hour burden, and explain the reasons for the variance. Generally, estimates should not include burden hours for customary and usua l business practices.  If this request for approval covers more than one form, provide separate hour burden estimates for each form and aggregate the hour burdens in the ROCI S IC Burden Analy sis Table. (The table should at minimum include Respondent types, IC activity , Respondent and Responses, Hours/Response, and Total Hours)  Provide estimates of annualized cost to respondents of the hour burdens for collections of information, identifying and using appropriate wage rate categories. The cost of contractin g out or paying outside parties for information collection activities should not be included here. Instead, this cost should be included in Item 14.6

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) PIP Development and MIS Submission PIP Quarterl y Response and MI S Submission Total Annual Burden Number of Respondents 5 5 5 Frequency

of Response Initial Quarterl y Total Annual Responses 5 15 20 Hours per Response 16 3 18 Total Hours 80 45 125 Cost per Hour $35.00 $35.00 Total Cost per Response $560.00 $105.00 $665.00 Total Cost $2,800.00 $525.00 $3,325.00 *The number of agencies developing and reporting on a PIP will vary ; however, RSA estimates that five VR agencies will be required to develop a PIP each year based on historical performance results on Standard 1. These five respondents will then report for the remaining three quarters of the ye ar, for a total of 15 quarterl y responses. RSA has estimated the time required for each respondent to develop the PIP and complete the form based on field testing of VR agencies. Based on the res ults from Phase 1 of the field test, in which three agencies participated, RSA found that the PIP can be developed and submitted into the MI S in an average time of 16 hours. In addition, RSA estimates the hourly

cost to respondents to be $35.00, and cost p er development and submission for the PIP to average $560.00 per respondent. RSA further estimates that the 5 respondents will require a total of 80 hours annually to develop and submit the PIP, for a total annual cost of $2,800.00. Based on experience with this process in past y ears, RSA estimates that the 5 respondents will report progress on the PI P for the three remaining quarters of the fiscal y ear, for a total of 45 responses. RSA has determined that each respondent will require approximately

3 ho urs to complete and submit each quarterl y update in the MI S, for a total of 15 hours over the three quarters. Again, based on an hourl y rate of $35.00, RSA calculates that the cost to each respondent per quarterl y report to be $105.00, for a total annual cost to the 5 respondents over the three quarters of reporting of $525.00. 13. Provide an estimate of the total annual cost burden to respondents or record keepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14.)7

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable)  The cost estimate should be split into two components: (a) a total capital and start

- up cost component (annualized over its expected useful life); and (b) a total operation and maintenance and purchase of services component. The est imates should take into account costs associated with generating, maintaining, and disclosing or providing the information. Include descriptions of methods used to estimate major cost factors including s ys tem and technology acquisition, expected useful li fe of capital equipment, the discount rate(s), and the time period over which costs will be incurred. Capital and start

- up costs include, among other items, preparations for collecting information such as purchasing computers and software; monitoring, sampling, drilling and testing equipment; and acquiring and maintaining record storage facilities.  If cost estimates are expected to vary widel y, agencies should present ranges of cost burdens and explain the reasons for the variance. The cost of contracting out information collection services should be a part of this cost burden estimate. In developing cost burden estimates, agencies may consult with a sample of respondents (fewer than 10), utilize the 60

- day pre - OMB submission public comment process and us e existing economic or regulatory impact anal ys is associated with the rulemaking containing the information collection, as appropriate.  Generally , estimates should not include purchases of equipment or services, or portions thereof, made: (1) prior to Octo ber 1, 1995, (2) to achieve regulatory compliance with requirements not associated with the information collection, (3) for reasons other than to provide information or keep records for the government or (4) as part of customary

and usual business or private practices. Also, these estimates should not include the hourly

costs (i.e., the monetization of the hours) captured above in Item 12 Total Annualized Capital/Startup Cost: Total Annual Costs (O&M): Total Annualized Costs Requested: States and territor ies incur no additional cost burden when submitting the PIP 14. Provide estimates of annualized cost to the Federal government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and an y other expense that would not have been incurred without this collection of information. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a single table.8

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) PIP review and approval Quarterl y progress

reports review and approval Total Annual Cost
Annual cost to the federal government 7.5 hours x $45/ hour = $337.50 11.25 hours x $45/

hour = $506.25 18.75 hours/

$843.75 Annual Federal computer cost $500 Total cost to Federal Government $1,343.75

RSA estimates that one GS

- 13 staff person will require 1.5 hours to review and approve each new PI P submission totaling 7.5 hours of review time (5 x 1.5). RSA estimates that one GS
- 13 staff person will require .75 hours to review and approve each quarterl y P IP submission; totaling 11.25 hours (15 x .75). RSA is now using an hourly cost of $45.00 for each hour of review, based on an hourl y rate of staff responsible for this a ctivity . The annual cost burden for review and approval of the PI P and Quarterl y Progress reports is estimated to be $1,343.75 and take 18.75 hours. 15. Explain the reasons for any program changes or adjustments. Generall y, adjustments in burden result from r e - estimating burden and/or from economic phenomenon outside of an agency ’s control (e.g., correcting a burden estimate or an organic increase in the size of the reporting universe). Program changes result from a deliberate action that materiall y changes a collection of information and generall y are result of new statute or an agency action (e.g., changing a form, revising regulations, redefining the respondent universe, etc.). Burden changes should be disaggregated b y ty pe of change (i.e., adjustment, progr am change due to new statute, and/or program change due to agency discretion), ty pe of collection (new, revision, extension, reinstatement with change, reinstatement without change) and include totals for changes in burden hours , responses and cost s (if ap plicable)
. The submission requires no changes to the burden of hours and costs included in the current OMB inventory
. 16. For collections of information whose results will be published, outline plans for tabulation and publication. Address an y complex anal yt ical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions. PIPs are not published informati on. 17. If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.9

EDI CS Tracking and OMB Number: (XXXX) XXXX

- XXXX Revised: XX/XX/XXXX RI N Number: XXXX

- XXXX (if a pplicable) RSA is not seeking approval to not display the expiration date. 18. Explain each exception to the certification statement identified in the Certification of Paperwork Reduction Act. The collection of Information does not employ any statistical methods.