DIVISION OF PROGRAM EVALUATION AND MEASUREMENT QUESTIONNAIRE RSDI

ICR 198007-0960-004

OMB: 0960-0215

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0215 198007-0960-004
Historical Active
SSA
DIVISION OF PROGRAM EVALUATION AND MEASUREMENT QUESTIONNAIRE RSDI
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/29/1980
Retrieve Notice of Action (NOA) 07/09/1980
  Inventory as of this Action Requested Previously Approved
05/31/1981 05/31/1981
150 0 0
125 0 0
0 0 0

THE NEED FOR THE INFORMATION IS TO PERMIT SSA TO CONDUCT A LIMIT STUDY (150 CASES) TO ESTABLISH WHAT OPERATIONAL AND/OR DEVELOPMENTAL PROBLEMS MAY OCCUR IN CONNECTION WITH THE TRANSFER OF RESPONSIBILITY FOR THE DEVELOPMENT OF DIVISION OF PROGRAM MEASUREMENT AND EVALUATION CASES FROM DISTRICT OFFICES TO THE OFFICE OF ASSESSMENT OFFICES.

None
None


No

1
IC Title Form No. Form Name
DIVISION OF PROGRAM EVALUATION AND MEASUREMENT QUESTIONNAIRE RSDI SSA-2932 &, SSA-1398-F7, SSA-2930,, SSA-2931,

  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 150 0 0 0 150 0
Annual Time Burden (Hours) 125 0 0 0 125 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/09/1980


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