2019 60-Month Survey - Youth Interview – Self-Administered Questionnaire

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 D - YOUTH ABBREVIATED QUESTIONNAIRE.docx Other-Youth Survey - Self-Administer

Information Collection (IC) Details

IC Title:	2019 60-Month Survey - Youth Interview – Self-Administered Questionnaire	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 - Self-Administered			APPENDIX D - YOUTH ABBREVIATED QUESTIONNAIRE.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	7	7
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.