OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Cross-Sectional Cohort Second post-test evaluation survey

IC 216679 under ICR 201603-0910-010 · OMB 0910-0788.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment 4_ Incentive Lit Review.doc Other-Incentive Lit Review
Attachment 16_Verification Form.docx Other-Verification Form
Attachment 17_Verification Call Script.doc Other-Verification Call Script
Attachment 18_Verification Letter.docx Other-Verification Letter

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Verification Call Script Attachment 17_Verification Call Script.doc No   Printable Only
Other-Verification Letter Attachment 18_Verification Letter.docx No   Printable Only
Other-Incentive Lit Review Attachment 4_ Incentive Lit Review.doc No   Printable Only
Other-Verification Form Attachment 16_Verification Form.docx No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 -735 0 0 735
Annual IC Time Burden (Hours) 0 0 -551 0 0 551
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.