Information Collection

Case Service Design: A Day in the Life Qualitative Study

IC 266515 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - CSD Semi-Structured Interview Prompts.docx	Other-Invitation
Attachment A - CSD Semi-Structured Interview Prompts.docx	Other-Invitation
0920-1050 Template CSD.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105	IC Document
0920-1050 Template CSD.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105	IC Document
SSA_0920-1050_CSD.docx SSA (24el)	IC Document
SSA_0920-1050_CSD.docx SSA (24el)	IC Document

IC Title:

Case Service Design: A Day in the Life Qualitative Study

Agency IC Tracking Number:

0920-1050-24EL

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation					No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the âGeneric Clearance for the Collection of Routine Customer Feedbackâ (OMB Control Number: 0920-1050)		04/04/2024
SSA (24el)		04/02/2024

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

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