Information Collection

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

IC 241457 under ICR 202004-0970-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instrument 1 - Informed Consent and Interview Protocols 2020-04-19.docx	Other-Interview Protocol
LTO OMB Generics A 2020-04-20.docx Supporting Statement A - LTO Generic	IC Document
LTO OMB Generics B 2020-04-20.docx Supporting Statement B - LTO Generic	IC Document
Appendix A - LTO Outreach Cover Memo 2020-04-19.docx Appendix A - LTO Outreach Cover Memo	IC Document
Appendix B - LTO Outreach Phone Script 2020-04-19.docx Appendix B - LTO Outreach Phone Script	IC Document
Appendix C - LTO Outreach Email 2020-04-19.docx Appendix C - LTO Outreach Email	IC Document

IC Title:

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

Agency IC Tracking Number:

OPRE

IC Status: New

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-Interview Protocol			Instrument 1 - Informed Consent and Interview Protocols 2020-04-19.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - LTO Generic	LTO OMB Generics A 2020-04-20.docx	04/21/2020
Supporting Statement B - LTO Generic	LTO OMB Generics B 2020-04-20.docx	04/21/2020
Appendix A - LTO Outreach Cover Memo	Appendix A - LTO Outreach Cover Memo 2020-04-19.docx	04/21/2020
Appendix B - LTO Outreach Phone Script	Appendix B - LTO Outreach Phone Script 2020-04-19.docx	04/21/2020
Appendix C - LTO Outreach Email	Appendix C - LTO Outreach Email 2020-04-19.docx	04/21/2020

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