Information Collection

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

IC 232414 under ICR 201803-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 20180725_clean.docx	Other-Template
Memo to Modify LTO OMB Package 2018-07-25_clean.docx Memo Explaining Updates From Previously Approved Generic	IC Document
OMB Part A_LTO 2018-01-17 revMDRC20180725_clean_genIC.docx Supporting Statement A - Assessing Options LTO July 2018	IC Document
OMB Part B_LTO 2018-01-17 revMDRC20180711_clean.docx Supporting Statement B - Assessing Options LTO July 2018	IC Document
Appendix B_Email_LTO 20180725_clean.docx Appendix B - Email	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 20180725_clean.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: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	9	9
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo Explaining Updates From Previously Approved Generic	Memo to Modify LTO OMB Package 2018-07-25_clean.docx	07/27/2018
Supporting Statement A - Assessing Options LTO July 2018	OMB Part A_LTO 2018-01-17 revMDRC20180725_clean_genIC.docx	07/27/2018
Supporting Statement B - Assessing Options LTO July 2018	OMB Part B_LTO 2018-01-17 revMDRC20180711_clean.docx	07/27/2018
Appendix B - Email	Appendix B_Email_LTO 20180725_clean.docx	07/27/2018

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