2019 - 60-Month Survey Youth Interview – telephone (using electronic assisted capturing)

Promoting Readiness of Minors in SSI (PROMISE) Evaluation - Interviews with Program Staff, and Focus Group Discussions

Documents and Forms

Document Name Document Type
APPENDIX B - SURVEY INVITATION LETTERS AND REMINDER MAILINGS.docx Other-Letters and Reminders
APPENDIX F - YOUTH SURVEY INSTRUMENT.docx Other-Youth Survey - CATI/CAPI

Information Collection (IC) Details

IC Title:	2019 - 60-Month Survey Youth Interview – telephone (using electronic assisted capturing)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Letters and Reminders			APPENDIX B - SURVEY INVITATION LETTERS AND REMINDER MAILINGS.docx		No		Paper Only
Other-Youth Survey - CATI/CAPI			APPENDIX F - YOUTH SURVEY INSTRUMENT.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,110	1,110
Annual IC Time Burden (Hours)	703	703
Annual IC Cost Burden (Dollars)	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.