Information Collection

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

IC 230845 under ICR 201904-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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_clean.docx	Other-Eval Template
Appendix B_Email_LTO 2018-01-17 ap ks rdh_resp to passback_clean.docx Appendix B - LTO Email	IC Document
Appendix C_Example Template_LTO 2018-01-17.docx Appendix C - LTO Example Template	IC Document
OMB Part A_LTO 2018-01-17 ng ap rdh_resp to passback_clean.docx SSA - LTO Formative Generic	IC Document
OMB Part B_LTO 2018-01-17.docx SSB - LTO Formative Generic	IC Document
Assessing Options LTO - NOA_2.23.18.pdf NOA - Assessing Options LTO	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

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-Eval Template			Appendix A_Evaluation Template_LTO 2018-01-17 ap ks rdh_resp to passback_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: 20

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
	Requested	Previously Approved
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
Appendix B - LTO Email	Appendix B_Email_LTO 2018-01-17 ap ks rdh_resp to passback_clean.docx	03/28/2018
Appendix C - LTO Example Template	Appendix C_Example Template_LTO 2018-01-17.docx	03/28/2018
SSA - LTO Formative Generic	OMB Part A_LTO 2018-01-17 ng ap rdh_resp to passback_clean.docx	03/28/2018
SSB - LTO Formative Generic	OMB Part B_LTO 2018-01-17.docx	03/28/2018
NOA - Assessing Options LTO	Assessing Options LTO - NOA_2.23.18.pdf	03/28/2018

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