Information Collection

Assessing Options to Evaluate Long-Term Outcomes Using Administrative Data: Identifying Targets of Opportunity

IC 229766 under ICR 201711-0970-008 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A_Evaluation Template_LTO 2018-01-17 ap ks rdh_resp to passback....docx	Other-Template
OMB Part A_LTO 2018-01-17 _clean.docx Supporting Statement A - Assessing Options to Eval LTOs Using Admin Data	IC Document
OMB Part B_LTO 2018-01-17.docx Supporting Statement B - Assessing Options to Eval LTOs Using Admin Data	IC Document
Appendix B_Email_LTO 2018-01-17 _clean.docx Appendix B_Invitation Email	IC Document
Appendix C_Example Template_LTO 2018-01-17.docx Appendix C Example Template	IC Document

IC Title:

Assessing Options to Evaluate Long-Term Outcomes Using Administrative Data: Identifying Targets of Opportunity

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template			Appendix A_Evaluation Template_LTO 2018-01-17 ap ks rdh_resp to passback....docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - Assessing Options to Eval LTOs Using Admin Data	OMB Part A_LTO 2018-01-17 _clean.docx	02/23/2018
Supporting Statement B - Assessing Options to Eval LTOs Using Admin Data	OMB Part B_LTO 2018-01-17.docx	01/18/2018
Appendix B_Invitation Email	Appendix B_Email_LTO 2018-01-17 _clean.docx	02/23/2018
Appendix C Example Template	Appendix C_Example Template_LTO 2018-01-17.docx	01/18/2018

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