Information Collection

84.421F Disability Innovation Fund (DIF) Evidence Building Support (EBS)

IC 276867 under ICR 202508-1820-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-Interview Invitation Email.docx	Other-Interview Email
Attachment A-Interview Invitation Email.docx	Other-Interview Email
Attachment B - Informed Consent Info.docx	Other-Information Sheet
Attachment B - Informed Consent Info.docx	Other-Information Sheet
Attachment C - Scheduling Email.docx	Other-Scheduling Email
Attachment C - Scheduling Email.docx	Other-Scheduling Email
Attachment D - Reminder Email.docx	Other-Reminder Email
Attachment D - Reminder Email.docx	Other-Reminder Email
Attachment E - Follow up Phone Script.docx	Other-Phone Script
Attachment E - Follow up Phone Script.docx	Other-Phone Script
Attachment F - Interview Protocol.docx	Instruction
Attachment F - Interview Protocol.docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Interview Email	Yes	Yes	Fillable Fileable
Other-Information Sheet	Yes	Yes	Fillable Fileable
Other-Scheduling Email	Yes	Yes	Fillable Fileable
Other-Reminder Email	Yes	Yes	Fillable Fileable
Other-Phone Script	No		Printable Only
Instruction	No		Printable Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	1,621	1,621

Documents for IC

table that charts IC Documents
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.

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