The Exploring Measurement of Performance Outcomes and Work Requirements in Programs Promoting Economic Independence (EMPOWERED) Study

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Document Name Document Type
04_50504 Attachment A_Master discussion guide_revised.docx Other-Guide
06_50504 Attachment C Recruitment email from MPR.docx Other-recruitment
07_50504 Attachment D Study description.docx Other-study
02_50504 ASPE Generic_SupportingStatement A_revised.docx SS_A IC Document
03_50504 ASPE Generic_SupportingStatement B_revised.docx SS_B IC Document
01_50504 ASPE Generic_Short Supporting Statement_revised.docx Mini SS IC Document
05_50504 Attachment B Recruitment email from ASPE.docx email from ASPE IC Document

Information Collection (IC) Details

IC Title:	The Exploring Measurement of Performance Outcomes and Work Requirements in Programs Promoting Economic Independence (EMPOWERED) Study	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guide	04_50504 Attachment A_Master discussion guide_revised.docx	No		Fillable Fileable
Other-recruitment	06_50504 Attachment C Recruitment email from MPR.docx	No		Paper Only
Other-study	07_50504 Attachment D Study description.docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 186	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	186	186
Annual IC Time Burden (Hours)	279	279
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SS_A	02_50504 ASPE Generic_SupportingStatement A_revised.docx	06/15/2018
SS_B	03_50504 ASPE Generic_SupportingStatement B_revised.docx	06/15/2018
Mini SS	01_50504 ASPE Generic_Short Supporting Statement_revised.docx	06/15/2018
email from ASPE	05_50504 Attachment B Recruitment email from ASPE.docx	06/15/2018

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