Information Collection

In-depth interviews with state and agency leadership (icl. informed consent and pre-collection questions)

IC 265149 under ICR 202411-0960-012 · OMB 0960-0836.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-14. State Agency Leadership IDI Letter and Consent.pdf	Other-State Agency Leadership IDI Le
Attachment A-14. State Agency Leadership IDI Letter and Consent.pdf	Other-State Agency Leadership IDI Le
Attachment A-6. State Leaders In-Depth Interview Protocol.pdf	Other-State Leaders In-Depth Intervi
Attachment A-6. State Leaders In-Depth Interview Protocol.pdf	Other-State Leaders In-Depth Intervi
Attachment A-22. Text Message Reminders.pdf	Other-Text Message Reminders
Attachment A-22. Text Message Reminders.pdf	Other-Text Message Reminders

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-State Agency Leadership IDI Letter and Consent	No		Paper Only
Other-State Leaders In-Depth Interview Protocol	No		Paper Only
Other-Text Message Reminders	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: 30

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	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	33	33
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.

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