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Federal forms, ICRs, and supporting documents

Information Collection

POD Informed Consent Form

IC 227805 under ICR 202202-0960-009 · OMB 0960-0809.

Documents and Forms
Document Name
Document Type
Form
Other-Letter to Recruited Respondent
Other-Letter to Recruited Respondent
Other-Informational Brochure
Other-Informational Brochure
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

POD Informed Consent Form
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form POD Informed Consent Form Promoting Opportunity Demonstration (POD) Voluntary Participation Consent Form POD Informed Consent Forms - Revised.pdf No   Paper Only
Other-Letter to Recruited Respondents POD Advanced Letter - Revised.pdf No   Paper Only
Other-Informational Brochure POD Trifold Brochure - Revised.pdf No   Paper Only

Income Security General Retirement and Disability

 

16,500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -16,500 0 0 16,500
Annual IC Time Burden (Hours) 0 0 -2,750 0 0 2,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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