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2015 18-Month Survey Interviews - Parent
Promoting Readiness of Minors in SSI (PROMISE) Evaluation - Interviews with Program Staff, and Focus Group Discussions
OMB: 0960-0799
IC ID: 214521
OMB.report
SSA
OMB 0960-0799
ICR 201807-0960-018
IC 214521
( )
Documents and Forms
Document Name
Document Type
ATTACHMENT H - 18-Month Parent Survey Instrument.pdf
Other-Survey
ATTACHMENT J - Survey Invitation Letters.pdf
Other-Letter
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2015 18-Month Survey Interviews - Parent
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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 H - 18-Month Parent Survey Instrument.pdf
Yes
Yes
Fillable Fileable
Other-Letter
ATTACHMENT J - Survey Invitation Letters.pdf
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:
850
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
0
0
-850
0
0
850
Annual IC Time Burden (Hours)
0
0
-581
0
0
581
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.