Information Collection

MI Pilot (icl. informed consent and pre-collection questions)

IC 265151 under ICR 202311-0960-002 · OMB 0960-0836.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0836 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-21. Exiter MI Pilot Letter and Consent.pdf	Other-Exiter MI Pilot Letter and Con
Attachment A-21. Exiter MI Pilot Letter and Consent.pdf	Other-Exiter MI Pilot Letter and Con
Attachment A-7. MI Practitioners Focus Group Protocol.pdf	Other-MI Practitioners Focus Group P
Attachment A-7. MI Practitioners Focus Group Protocol.pdf	Other-MI Practitioners Focus Group P
Attachment A-22. Text Message Reminders.pdf	Other-Text Message Reminders
Attachment A-22. Text Message Reminders.pdf	Other-Text Message Reminders

IC Title:

MI Pilot (icl. informed consent and pre-collection questions)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Exiter MI Pilot Letter and Consent.pdf	Attachment A-21. Exiter MI Pilot Letter and Consent.pdf	No		Paper Only
Other-MI Practitioners Focus Group Protocol.pdf	Attachment A-7. MI Practitioners Focus Group Protocol.pdf	No		Paper Only
Other-Text Message Reminders	Attachment A-22. Text Message Reminders.pdf	Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.