Baseline survey & Identifying and contact information –staff

OPRE Evaluation: Next Generation of Enhanced Employment Strategies Project [Impact, Descriptive, and Cost Studies]

Instrument 2. Identifying and contact information

Baseline survey & Identifying and contact information –staff

OMB: 0970-0545

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Instrument 2. Identifying and contact information

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX. The time required to complete this information collection is estimated to average 25 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. This includes the time it takes to complete the baseline survey. Send comments regarding this burden estimate to XXX. OMB expiration date xx/xx/xxxx.

Identifying and Contact Information Data Collection - Screens in the Random Assignment, Participant Tracking Enrollment, and Reporting, or RAPTER®, system

A1. Login screens























Intake Screens

B1. Study Eligibility



B2. Consent by Sample Member























B3. Consent by parent/guardian





B4. Applicant information























B5. Duplicate check





B6. Baseline



B7. Additional contacts screen





























B8. Enrollment complete

















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJennifer Herard
File Modified0000-00-00
File Created2021-01-14

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