Information Collection Request

Supported Employment Demonstration (SED) Project

ICR 202002-0960-002 · OMB 0960-0806 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement Part B - 0806.docx Supporting Statement B Uploaded 2020-05-05 Available
Supporting Statement - 0806 (Revised).docx Supporting Statement A Uploaded 2020-10-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226133 Person-Centered Interview Other-Person Centered Interview Modified
226132 Participant Focus Groups Other-Participant Focus Group Questions Modified
226131 Key Informant Interview Other-Key Informant Interview Modified
226130 Fidelity Assessment Family Member Interview Other-Fidelity Assessement Family Member Interview Removed
226129 Fidelity Assessment Participant Interview Other-Fidelity Assessment Interview Modified
226128 Annual Interview (Quarters 4, 8, and 11) Other-Annual Interview Questions Modified
226127 Quarterly Interview (Quarters 1, 2, 3, 5, 6, 7, 9, 10, and 11) Other-Quarterly Interview Questions Modified
226126 Baseline Interview Other-Baseline Interview Questions Modified
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
10/31/2023 36 Months From Approved 10/31/2020
43,998 0 43,580
21,218 0 20,605
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 43,998 43,580 0 418 0 0
Annual Time Burden (Hours) 21,218 20,605 0 613 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No