OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Study participants baseline interview

IC 268414 under ICR 202502-0960-014 · OMB 0960-0840.

Documents and Forms
Document Name
Document Type
Other-ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other-ICAP SHIP Baseline Interview D
Other-ICAP SHIP Baseline Interview D
Other-ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other- ICAP SHIPS Baseline Interview
Other-ICAP SHIPS Baseline InterviewS
Other-ICAP SHIPS Baseline InterviewS
Other- ICAP SHIPS consent form
Other- ICAP SHIPS consent form
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Study participants baseline interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ICAP SHIPS Baseline Interview Demographics ICAP SHIPS BaselineInterviewDemographics (revised).pdf No   Paper Only
Other-ICAP SHIP Baseline Interview Disability ICAP SHIPS BaselineInterviewDisabilityHis V2.pdf No   Paper Only
Other-ICAP SHIPS Baseline Interview Employment ICAP SHIPS BaselineInterviewEmploymentInc V2.pdf No   Paper Only
Other- ICAP SHIPS Baseline Interview Financial ICAP SHIPS BaselineInterviewFinancialDist V2.pdf No   Paper Only
Other-ICAP SHIPS Baseline Interview Housing History ICAP SHIPS BaselineInterviewHousingHistor V2.pdf No   Printable Only
Other- ICAP SHIPS Baseline Interview Lifetime ICAP SHIPS BaselineInterviewLifetimeJusti V2.pdf No   Paper Only
Other-ICAP SHIPS Baseline Interview Satisfaction ICAP SHIPS BaselineInterviewSatisfactionW V2.pdf No   Paper Only
Other- ICAP SHIPS Baseline Interview SF12_SHIPS ICAP SHIPS BaselineInterviewSF12_SHIPS V2.pdf No   Paper Only
Other-ICAP SHIPS Baseline InterviewSocial Capital ICAP SHIPS BaselineInterviewSocialCapital V2.pdf No   Paper Only
Other- ICAP SHIPS consent form ICAP SHIPS consent form (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 580 0 0 0 0 580
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ICAP SHIPS BaselineInterviewDemographics (current) ICAP SHIPS BaselineInterviewDemographics (current).pdf 07/02/2025
CAP SHIPS consent form (current) ICAP SHIPS consent form (current).pdf 07/02/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.