Information Collection Request

Promoting Opportunity Project (POD)

ICR 202202-0960-009 · OMB 0960-0809 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
POD Monthly Earnings & IRWE Reporting Form Form Modified Repair queued
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online Form Modified Repair queued
POD Monthly Earnings & IRWE Reporting Form Form and Instruction Modified Available
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Form and Instruction Modified Repair queued
Promoting Opportunity Demonstration (POD) Baseline Questionnaire Form and Instruction Removed Repair queued
POD Baseline Survey Form and Instruction Removed Repair queued
Form POD Informed Conse Promoting Opportunity Demonstration (POD) Voluntary Participation Consent Form Form Removed Available
Form POD Informed Conse POD Informed Consent Form Form Removed Available
Addendum - 0809.docx Supplementary Document Uploaded 2022-02-28 Repair queued
Supporting Statement Part B - 0809.docx Supporting Statement B Uploaded 2022-02-28 Repair queued
Supporting Statement Part A - 0809.docx Supporting Statement A Uploaded 2022-02-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227827 POD End of Year Reporting (EOYR) Documentation Other-Letter and Instructions for Submission of Documentation Modified
227826 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online Form ModifiedPOD Monthly Earnings & IRWE Reporting Form
227826 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online Form Modified
227825 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Form and Instruction ModifiedPOD Monthly Earnings & IRWE Reporting Form
227825 POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Form and Instruction Modified
227823 POD Semi-Structured Interviews with Treatment Group Subjects Other-Interview Topics Removed
227822 POD Onsite Audit of Sample of Case Files in MIS Other-Interview Topics and Assessment of Implementation Fidelity Removed
227821 POD Staff Interviews with Site Staff Other-Interview Topics and Explanation Removed
227820 POD Year 2 Follow-up Surveys Other-Follow-up Surveys Removed
227812 POD Year 1 Follow-up Survey Other-Follow-up Surveys Removed
227810 POD Baseline Survey Form and Instruction RemovedPromoting Opportunity Demonstration (POD) Baseline Questionnaire
227810 POD Baseline Survey Form and Instruction Removed
227805 POD Informed Consent Form Form RemovedPromoting Opportunity Demonstration (POD) Voluntary Participation Consent Form
227805 POD Informed Consent Form Form Removed
227805 POD Informed Consent Form Other-Letter to Recruited Respondents Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2025 36 Months From Approved 05/31/2022
14,000 0 85,135
4,767 0 21,944
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
POD Baseline Survey N/A
POD End of Year Reporting (EOYR) Documentation
POD Informed Consent Form POD Informed Consent Form
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online N/A
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper N/A
POD Onsite Audit of Sample of Case Files in MIS
POD Semi-Structured Interviews with Treatment Group Subjects
POD Staff Interviews with Site Staff
POD Year 1 Follow-up Survey
POD Year 2 Follow-up Surveys

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 14,000 85,135 0 -51,320 -19,815 0
Annual Time Burden (Hours) 4,767 21,944 0 -17,175 -2 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No