Information Collection

Feedback on the Use of the Your Money, Your Goals Toolkit

IC 237563 under ICR 202108-3170-001 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
3170-0024 YMYG Process Eval - Email invitation and reminder text OMB.pdf	Other-Invitation Email
3170-0024 YMYG Process Eval - Email invitation and reminder text OMB.pdf	Other-Invitation Email
3170-0024 YMYG Process Eval - Telephone reminder script OMB.pdf	Other-Telephone reminder script
3170-0024 YMYG Process Eval - Telephone reminder script OMB.pdf	Other-Telephone reminder script
3170-0024 YMYG Process Eval - Informed consent OMB.pdf	Other-Informed consent
3170-0024 YMYG Process Eval - Informed consent OMB.pdf	Other-Informed consent
3170-0024 YMYG Process Eval - Survey instrument OMB.pdf	Other-Survey instrument
3170-0024 YMYG Process Eval - Survey instrument OMB.pdf	Other-Survey instrument
3170-0024 YMYG Process Eval - Generic IC Template OMB.pdf Supporting Statement	IC Document
3170-0024 YMYG Process Eval - Generic IC Template OMB.pdf Supporting Statement	IC Document

IC Title:

Feedback on the Use of the Your Money, Your Goals Toolkit

Agency IC Tracking Number:

DI00659

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation Email	3170-0024 YMYG Process Eval - Email invitation and reminder text OMB.pdf	Yes	Yes	Fillable Fileable
Other-Telephone reminder script	3170-0024 YMYG Process Eval - Telephone reminder script OMB.pdf	Yes	Yes	Fillable Fileable
Other-Informed consent	3170-0024 YMYG Process Eval - Informed consent OMB.pdf	Yes	Yes	Fillable Fileable
Other-Survey instrument	3170-0024 YMYG Process Eval - Survey instrument OMB.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	630	630
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	3170-0024 YMYG Process Eval - Generic IC Template OMB.pdf	08/27/2019

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