Information Collection

Study of An Information Strategy to Increase Enrollment in Postsecondary Education

IC 226099 under ICR 201703-1850-004 · OMB 1850-0939.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1850-NEW Text ED Appendix A_Interview Protocol.docx	Other-protocol
1850-NEW Text ED Appendix B_Intake Form Fields 3.8.17.docx	Other-Intake Form
1850-NEW Text ED Appendix E_Informed Consent.docx	Other-notification letter
1850-NEW Text ED Appendix F_Notification Letter from MDRC.docx	Other-Study Information Packet
Client Biweekly Updates Form 1850-NEW Text Ed Appendix C_Baseline Information Form.docx	Form
Informed Consent Form 1850-NEW Text ED Appendix D_Biweekly Updates.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-protocol			1850-NEW Text ED Appendix A_Interview Protocol.docx	No		Paper Only
Other-Intake Form			1850-NEW Text ED Appendix B_Intake Form Fields 3.8.17.docx	Yes	Yes	Fillable Fileable
Form	N/A	Client Biweekly Updates Form	1850-NEW Text Ed Appendix C_Baseline Information Form.docx	Yes	Yes	Fillable Fileable
Form	N/A	Informed Consent Form	1850-NEW Text ED Appendix D_Biweekly Updates.docx	Yes	Yes	Fillable Fileable
Other-notification letter			1850-NEW Text ED Appendix E_Informed Consent.docx	No		Paper Only
Other-Study Information Packet			1850-NEW Text ED Appendix F_Notification Letter from MDRC.docx	No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,013

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,013	2,013
Annual IC Time Burden (Hours)	594	594
Annual IC Cost Burden (Dollars)	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.