Quarterly Interview (Quarters 1, 2, 3, 5, 6, 7, 9, 10, and 11)

Supported Employment Demonstration (SED) Project

OMB: 0960-0806

IC ID: 226127

Documents and Forms
Document Name
Document Type
Other-Quarterly Interview Questions
Information Collection (IC) Details

View Information Collection (IC)

Quarterly Interview (Quarters 1, 2, 3, 5, 6, 7, 9, 10, and 11)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Quarterly Interview Questions SED Attachments L-S (05-03-2017).pdf No   Printable Only

Income Security General Retirement and Disability

 

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 27,000 0 0 0 0 27,000
Annual IC Time Burden (Hours) 9,000 0 0 0 0 9,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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