Information Collection

The Exploring Measurement of Performance Outcomes and Work Requirements in Programs Promoting Economic Independence (EMPOWERED) Study

IC 231834 under ICR 201705-0990-002 · OMB 0990-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
04_50504 Attachment A_Master discussion guide_revised.docx	Other-Guide
06_50504 Attachment C Recruitment email from MPR.docx	Other-recruitment
07_50504 Attachment D Study description.docx	Other-study
02_50504 ASPE Generic_SupportingStatement A_revised.docx SS_A	IC Document
03_50504 ASPE Generic_SupportingStatement B_revised.docx SS_B	IC Document
01_50504 ASPE Generic_Short Supporting Statement_revised.docx Mini SS	IC Document
05_50504 Attachment B Recruitment email from ASPE.docx email from ASPE	IC Document

IC Title:

The Exploring Measurement of Performance Outcomes and Work Requirements in Programs Promoting Economic Independence (EMPOWERED) Study

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guide	04_50504 Attachment A_Master discussion guide_revised.docx	No		Fillable Fileable
Other-recruitment	06_50504 Attachment C Recruitment email from MPR.docx	No		Paper Only
Other-study	07_50504 Attachment D Study description.docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	186	186
Annual IC Time Burden (Hours)	279	279
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS_A	02_50504 ASPE Generic_SupportingStatement A_revised.docx	06/15/2018
SS_B	03_50504 ASPE Generic_SupportingStatement B_revised.docx	06/15/2018
Mini SS	01_50504 ASPE Generic_Short Supporting Statement_revised.docx	06/15/2018
email from ASPE	05_50504 Attachment B Recruitment email from ASPE.docx	06/15/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.