Information Collection Request

Evaluation of Employment Coaching for TANF and Other Related Populations

ICR 201708-0970-004 · OMB 0970-0506 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment I Notifications_v10_clean.docx Supplementary Document Uploaded 2018-03-19 Available
Attachment A TANF Consent Form_v4_clean.docx Supplementary Document Uploaded 2018-03-14 Repair queued
Supporting Statement B_v9_clean.docx Supporting Statement B Uploaded 2018-03-14 Available
Supporting Statement A_v12_clean.docx Supporting Statement A Uploaded 2018-03-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227923 Video recordings of coaching sessions Instruction New
227922 Staff reports of program service receipt Other-Staff reports New
227920 In-depth participant interviews Other-Interviews New
227919 Staff survey Other-Survey New
227918 Semi-structured staff interviews Other-Interviews New
227917 First follow-up survey Other-Survey New
227916 Baseline data collection – staff Other-Survey New
227914 Baseline data collection – study participants Other-Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved
56,936 0 0
3,754 0 0
0 0 0





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 56,936 0 0 56,936 0 0
Annual Time Burden (Hours) 3,754 0 0 3,754 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No