Information Collection

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

IC 245226 under ICR 202310-0970-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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-Interviews
LTO OMB Generics A 2020-04-20.docx Supporting Statement A - LTO GenIC May 2020	IC Document
LTO OMB Generics B 2020-04-20.docx Supporting Statement B - LTO GenIC May 2020	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
NOA - LTO GenIC_Formative Gen 0970-0356_5.13.20.pdf NOA - LTO GenIC_Formative Gen 0970-0356_5.13.20	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

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-Interviews			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
	Requested	Previously Approved
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 GenIC May 2020	LTO OMB Generics A 2020-04-20.docx	01/06/2021
Supporting Statement B - LTO GenIC May 2020	LTO OMB Generics B 2020-04-20.docx	01/06/2021
Appendix A - LTO Outreach Cover Memo	Appendix A - LTO Outreach Cover Memo 2020-04-19.docx	01/06/2021
Appendix B - LTO Outreach Phone Script	Appendix B - LTO Outreach Phone Script 2020-04-19.docx	01/06/2021
Appendix C - LTO Outreach Email	Appendix C - LTO Outreach Email 2020-04-19.docx	01/06/2021
NOA - LTO GenIC_Formative Gen 0970-0356_5.13.20	NOA - LTO GenIC_Formative Gen 0970-0356_5.13.20.pdf	01/06/2021

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