Information Collection

Next Generation of Enhanced Employment Strategies Project - MOMS Partnership

IC 254549 under ICR 202409-0970-014 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument A- Survey of Orientation Attendees_V3.clean.docx Other-Survey
Instrument A- Survey of Orientation Attendees_V3.clean.docx Other-Survey
Instrument B-Focus group of orientation facilitators_V3_clean.docx Other-Focus Group
Instrument B-Focus group of orientation facilitators_V3_clean.docx Other-Focus Group
Instrument C- Survey of Stress Management Course Attendees_V3_clean.docx Other-Survey
Instrument C- Survey of Stress Management Course Attendees_V3_clean.docx Other-Survey
Instrument D-Focus group of Stress Management Course Faciliators_V3.clean.docx Other-Focus Group
Instrument D-Focus group of Stress Management Course Faciliators_V3.clean.docx Other-Focus Group
Instrument E- Survey of MOMS Moving Forward session Attendees_V3_clean.docx Other-Survey
Instrument E- Survey of MOMS Moving Forward session Attendees_V3_clean.docx Other-Survey
Instrument F-Focus group of MOMS Moving Forward coaches_V3.clean.docx Other-Focus Group
Instrument F-Focus group of MOMS Moving Forward coaches_V3.clean.docx Other-Focus Group
Instrument G-Referral staff survey_V3_clean.docx Other-Survey
Instrument G-Referral staff survey_V3_clean.docx Other-Survey
Instrument H- Potential Participants Survey_V3.clean.docx Other-Survey
Instrument H- Potential Participants Survey_V3.clean.docx Other-Survey
Instrument I-Focus group of referral staff_V3.clean.docx Other-Focus Group
Instrument I-Focus group of referral staff_V3.clean.docx Other-Focus Group
Instrument J-Focus group of intake specialists_V3.clean.docx Other-Focus Group
Instrument J-Focus group of intake specialists_V3.clean.docx Other-Focus Group
MOMS-OMB_PartA_Draft_V3 clean_rev.docx
SSA - MOMS GenIC
IC Document
MOMS-OMB_PartA_Draft_V3 clean_rev.docx
SSA - MOMS GenIC
IC Document
MOMS-OMB_PartB_Draft_V3_clean.docx
SSB - MOMS GenIC
IC Document
MOMS-OMB_PartB_Draft_V3_clean.docx
SSB - MOMS GenIC
IC Document
NOA_Prg Spprt GenIC_NextGen MOMS_0970-0531_9.20.21.pdf
NOA - MOMS GenIC
IC Document
NOA_Prg Spprt GenIC_NextGen MOMS_0970-0531_9.20.21.pdf
NOA - MOMS GenIC
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Survey Instrument A- Survey of Orientation Attendees_V3.clean.docx Yes Yes Fillable Fileable
Other-Focus Group Instrument B-Focus group of orientation facilitators_V3_clean.docx Yes Yes Paper Only
Other-Survey Instrument C- Survey of Stress Management Course Attendees_V3_clean.docx Yes Yes Fillable Fileable
Other-Focus Group Instrument D-Focus group of Stress Management Course Faciliators_V3.clean.docx Yes Yes Paper Only
Other-Survey Instrument E- Survey of MOMS Moving Forward session Attendees_V3_clean.docx Yes Yes Fillable Fileable
Other-Focus Group Instrument F-Focus group of MOMS Moving Forward coaches_V3.clean.docx Yes Yes Paper Only
Other-Survey Instrument G-Referral staff survey_V3_clean.docx Yes Yes Fillable Fileable
Other-Survey Instrument H- Potential Participants Survey_V3.clean.docx Yes Yes Fillable Fileable
Other-Focus Group Instrument I-Focus group of referral staff_V3.clean.docx Yes Yes Paper Only
Other-Focus Group Instrument J-Focus group of intake specialists_V3.clean.docx Yes Yes Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 1,404 0 0 0 0 1,404
Annual IC Time Burden (Hours) 255 0 0 0 0 255
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - MOMS GenIC MOMS-OMB_PartA_Draft_V3 clean_rev.docx 07/08/2022
SSB - MOMS GenIC MOMS-OMB_PartB_Draft_V3_clean.docx 07/08/2022
NOA - MOMS GenIC NOA_Prg Spprt GenIC_NextGen MOMS_0970-0531_9.20.21.pdf 07/08/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.