Information Collection

Constituent Engagement Related to Use of AI

IC 269219 under ICR 202502-0970-001 · OMB 0970-0630.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1. Focus groups with state leaders and others.docx	Other-Focus Group Protocol
Instrument 1. Focus groups with state leaders and others.docx	Other-Focus Group Protocol
Instrument 2. Focus groups with public benefit participants.docx	Other-Focus Group Protocol
Instrument 2. Focus groups with public benefit participants.docx	Other-Focus Group Protocol
Instrument 3. Survey of AI opinions--participants.docx	Other-Survey
Instrument 3. Survey of AI opinions--participants.docx	Other-Survey
Instrument 4. Survey of AI opinions--nonparticipants.docx	Other-Survey
Instrument 4. Survey of AI opinions--nonparticipants.docx	Other-Survey
Instrument 5. Screener for participants.docx	Other-Screener
Instrument 5. Screener for participants.docx	Other-Screener
SSA AI Constituent Engagement.docx SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	IC Document
SSA AI Constituent Engagement.docx SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	IC Document
SSB AI Constituent Engagement.docx SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	IC Document
SSB AI Constituent Engagement.docx SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	IC Document
Appendix 1. Outreach emails.docx Appendix 1: Outreach materials	IC Document
Appendix 1. Outreach emails.docx Appendix 1: Outreach materials	IC Document

IC Title:

Agency IC Tracking Number:

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-Focus Group Protocol	Yes	Yes	Printable Only
Other-Focus Group Protocol	Yes	Yes	Printable Only
Other-Survey	Yes	Yes	Fillable Fileable
Other-Survey	Yes	Yes	Fillable Fileable
Other-Screener	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,225	1,225
Annual IC Time Burden (Hours)	182	182
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI		07/08/2024
SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI		07/08/2024
Appendix 1: Outreach materials		07/08/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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