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2017 18-Month Survey Interviews - Youth
Promoting Readiness of Minors in SSI (PROMISE) Evaluation - Interviews with Program Staff, and Focus Group Discussions
OMB: 0960-0799
IC ID: 214526
OMB.report
SSA
OMB 0960-0799
ICR 201608-0960-001
IC 214526
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0799 can be found here:
2018-11-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
ATTACHMENT I - 18-Month Youth Survey Instrument.pdf
Other-Survey
ATTACHMENT J - Survey Invitation Letters.pdf
Other-Letter
Locating Letter - Alternate Version for Withdrawn Cases.docx
Other-Letter
Advance Letter - Alternate Version for Withdrawn Cases.docx
Other-Letter
Locating Letter - Standard Version.docx
Current Locating Letter
IC Document
Advance Letter - Standard Version.docx
Current Advance Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2017 18-Month Survey Interviews - Youth
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
ATTACHMENT I - 18-Month Youth Survey Instrument.pdf
Yes
Yes
Fillable Fileable
Other-Letter
ATTACHMENT J - Survey Invitation Letters.pdf
No
Paper Only
Other-Letter
Locating Letter - Alternate Version for Withdrawn Cases.docx
No
Paper Only
Other-Letter
Advance Letter - Alternate Version for Withdrawn Cases.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
4,250
0
0
0
0
4,250
Annual IC Time Burden (Hours)
2,125
0
0
0
0
2,125
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Current Locating Letter
Locating Letter - Standard Version.docx
08/03/2016
Current Advance Letter
Advance Letter - Standard Version.docx
08/03/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.