Information Collection Request

Supported Employment Demonstration (SED) Project

ICR 201805-0960-004 · OMB 0960-0806 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Non-Substantive Change request 0806.doc Justification for No Material/Nonsubstantive Change Uploaded 2018-05-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226133 Person-Centered Interview Other-Person Centered Interview Unchanged
226132 Participant Focus Groups Other-Participant Focus Group Questions Unchanged
226131 Key Informant Interview Other-Key Informant Interview Unchanged
226130 Fidelity Assessment Family Member Interview Other-Fidelity Assessement Family Member Interview Unchanged
226129 Fidelity Assessment Participant Interview Other-Fidelity Assessment Interview Unchanged
226128 Annual Interview (Quarters 4, 8, and 11) Other-Annual Interview Questions Unchanged
226127 Quarterly Interview (Quarters 1, 2, 3, 5, 6, 7, 9, 10, and 11) Other-Quarterly Interview Questions Unchanged
226126 Baseline Interview Other-Baseline Interview Questions Unchanged
226125 Competency and CIDI Screener Other-CIDI Screener Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2020 07/31/2020 07/31/2020
43,580 0 45,480
20,605 0 21,230
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 43,580 45,480 0 0 -1,900 0
Annual Time Burden (Hours) 20,605 21,230 0 0 -625 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No