Information Collection Request

Promoting Opportunity Project (POD)

ICR 201704-0960-007 · OMB 0960-0809 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
POD End of Year Reporting Form Form and Instruction New Available
POD End of Year Reporting Form Form and Instruction New Available
POD Monthly Earnings & IRWE Reporting Form Form New Available
POD Monthly Earnings & IRWE Reporting Form Form and Instruction New Available
Promoting Opportunity Demonstration (POD) Baseline Questionnaire Form and Instruction New Available
Form POD Informed Conse Promoting Opportunity Demonstration (POD) Voluntary Participation Consent Form Form New Available
Supporting Statement Part B - POD (0960-NEW) - Revised.docx Supporting Statement B Uploaded 2017-11-07 Available
Supporting Statement Part A - POD (0960-NEW) - Revised.docx Supporting Statement A Uploaded 2017-11-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227828 POD End of Year (EOYR) Form - Online Form and Instruction NewPOD End of Year Reporting Form
227827 POD End of Year Reporting (EOYR) From - Paper Form and Instruction NewPOD End of Year Reporting Form
227826 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online Form NewPOD Monthly Earnings & IRWE Reporting Form
227825 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Form and Instruction NewPOD Monthly Earnings & IRWE Reporting Form
227823 POD Semi-Structured Interviews with Treatment Group Subjects Other-Interview Topics New
227822 POD Onsite Audit of Sample of Case Files in MIS Other-Interview Topics and Assessment of Implementation Fidelity New
227821 POD Staff Interviews with Site Staff Other-Interview Topics and Explanation New
227820 POD Year 2 Follow-up Surveys Other-Follow-up Surveys New
227812 POD Year 1 Follow-up Survey Other-Follow-up Surveys New
227810 POD Baseline Survey Form and Instruction NewPromoting Opportunity Demonstration (POD) Baseline Questionnaire
227805 POD Informed Consent Form Form NewPromoting Opportunity Demonstration (POD) Voluntary Participation Consent Form
227805 POD Informed Consent Form Other-Letter to Recruited Respondents New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved
83,870 0 0
20,699 0 0
0 0 0





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
POD Baseline Survey N/A
POD End of Year (EOYR) Form - Online N/A
POD End of Year Reporting (EOYR) From - Paper N/A
POD Informed Consent Form POD Informed Consent Form
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online N/A
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper N/A
POD Onsite Audit of Sample of Case Files in MIS
POD Semi-Structured Interviews with Treatment Group Subjects
POD Staff Interviews with Site Staff
POD Year 1 Follow-up Survey
POD Year 2 Follow-up Surveys

table that charts list of burden
  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 83,870 0 0 83,870 0 0
Annual Time Burden (Hours) 20,699 0 0 20,699 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No