OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 265151 under ICR 202411-0960-012 · OMB 0960-0836.

Documents and Forms
Document Name
Document Type
Other-Exiter MI Pilot Letter and Con
Other-Exiter MI Pilot Letter and Con
Other-MI Practitioners Focus Group P
Other-MI Practitioners Focus Group P
Other-Text Message Reminders
Other-Text Message Reminders
Information Collection (IC) Details

View Information Collection (IC)

MI Pilot (icl. informed consent and pre-collection questions)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL 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

Income Security General Retirement and Disability

 

50 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 300 0 0 0 0 300
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.