OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey (icl. informed consent and pre-collection questions)

IC 265150 under ICR 202311-0960-002 · OMB 0960-0836.

Documents and Forms
Document Name
Document Type
Other- Pre-collection instrument
Other- Pre-collection instrument
Other-Beyond Benefits Study (BBS Sur
Other-Beyond Benefits Study (BBS Sur
Other-Exiter and Possible Exiter IDI
Other-Exiter and Possible Exiter IDI
Other-Exiter and Possible Exiter Foc
Other-Exiter and Possible Exiter Foc
Other- Service Provider Focus Group
Other- Service Provider Focus Group
Other-State Agency Leadership IDI Le
Other-State Agency Leadership IDI Le
Other- MI Practitioner Focus Group C
Other- MI Practitioner Focus Group C
Other- Exiter and Possible Exiter Su
Other- Exiter and Possible Exiter Su
Information Collection (IC) Details

View Information Collection (IC)

Survey (icl. informed consent and pre-collection questions)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- Pre-collection instrument Attachment A-20. Pre-collection instrument.pdf No   Paper Only
Other-Beyond Benefits Study (BBS Survey) Attachment A-8. Exiter and Possible Exiter Survey (FINAL).docx No   Paper Only
Other-Exiter and Possible Exiter IDI Letter and Consent Attachment A-9. Exiter and Possible Exiter IDI Letter and Consent.pdf No   Paper Only
Other-Exiter and Possible Exiter Focus Group Letter and Consent Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf No   Paper Only
Other- Service Provider Focus Group Letter and Consent Attachment A-13. Service Provider Focus Group Letter and Consent.pdf No   Paper Only
Other-State Agency Leadership IDI Letter and Consent. Attachment A-14. State Agency Leadership IDI Letter and Consent.pdf No   Paper Only
Other- MI Practitioner Focus Group Consent. Attachment A-15. MI Practitioner Focus Group Consent.pdf No   Paper Only
Other- Exiter and Possible Exiter Survey Letter and Consent Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf No   Paper Only

Income Security General Retirement and Disability

 

4,000 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 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 3,333 0 3,333 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.