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

SSA Beyond Benefits Study (BBS) Data Collection

Documents and Forms

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

Information Collection (IC) Details

IC Title:	MI Pilot (icl. informed consent and pre-collection questions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	Approved	Previously Approved
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

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.