Baseline Survey Materials

Accelerated Benefits Demonstration Project

OMB: 0960-0747

IC ID: 180016

Documents and Forms
Document Name
Document Type
Other-Survey Script
Other-Consent Forms
Other-Survey Letter
Other-Fact Sheet
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Baseline Survey Materials
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Script Appendix C.pdf Note: completed by interviewer No   Paper Only
Other-Consent Forms Appendix D.doc No   Paper Only
Other-Survey Letter Appendix A.doc No   Paper Only
Other-Fact Sheet Appendix B.doc No   Paper Only

Income Security General Retirement and Disability

 

37,812 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -37,812 0 0 37,812
Annual IC Time Burden (Hours) 0 0 -6,572 0 0 6,572
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revised Materials 0960-0747 revised documents.pdf 03/24/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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