Disability Perception Survey (DPS) - Web version

Disability Perception Survey (DPS)

OMB:

IC ID: 251928

Documents and Forms
Document Name
Document Type
Other-DPS Survey
Other-DPS Survey
Other-Privacy Act Satement
Other-Privacy Act Satement
Other-DPS Item Justication
Other-DPS Item Justication
Other-Email Invitation
Other-Email Invitation
Other-Reminder email
Other-Reminder email
Other-Friendly reminder to complete
Other-Friendly reminder to complete
Other-Act Now reminder
Other-Act Now reminder
Other-Survey is ending soon
Other-Survey is ending soon
Other-Time is runnnint out screen
Other-Time is runnnint out screen
Other-Last chance email
Other-Last chance email
Other-Paritial reminder to finish
Other-Paritial reminder to finish
Other-Text message promptin script
Other-Text message promptin script
Other-Post Card
Other-Post Card
Other-reminder letter with $2
Other-reminder letter with $2
Information Collection (IC) Details

View Information Collection (IC)

Disability Perception Survey (DPS) - Web version
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-DPS Survey Appendix A_DPS survey.docx Yes Yes Fillable Fileable
Other-Privacy Act Satement Appendix A2_Privacy Act Statement.docx No   Paper Only
Other-DPS Item Justication Appendix B DPS item justification.docx No   Paper Only
Other-Email Invitation Appendix C_AmeriSpeak’s Email Invitation script.docx Yes No Printable Only
Other-Reminder email Appendix E_Reminder to complete your AmeriSpeak survey.docx Yes No Printable Only
Other-Friendly reminder to complete survey Appendix F_Reminder 2_Another friendly reminder about your AmeriSpeak survey.docx Yes No Printable Only
Other-Act Now reminder Appendix G_Reminder 3_ Act now and receive 20,000 AmeriPoints.docx Yes No Printable Only
Other-Survey is ending soon Appendix H_Reminder 4_Your AmeriSpeak survey is ending soon.docx Yes No Printable Only
Other-Time is runnnint out screen Appendix I_Reminder 5_Time is running out.docx Yes No Printable Only
Other-Last chance email Appendix J_“Last Chance” email script.docx Yes No Printable Only
Other-Paritial reminder to finish Appendix K_ Partial_Reminder to Finish.docx Yes No Printable Only
Other-Text message promptin script Appendix L_AmeriSpeak’s text messaging prompting scripts.docx Yes Yes Fillable Fileable
Other-Post Card Appendix M_Post Card.docx No   Paper Only
Other-reminder letter with $2 Appendix N_reminder letter with $2 included.docx No   Paper Only

Income Security General Retirement and Disability

 

4,259 0
   
Individuals or Households
 
   0 %

  Requested 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 4,259 0 4,259 0 0 0
Annual IC Time Burden (Hours) 1,207 0 1,207 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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