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POD Informed Consent Form
Promoting Opportunity Project (POD)
OMB: 0960-0809
IC ID: 227805
OMB.report
SSA
OMB 0960-0809
ICR 202202-0960-009
IC 227805
( )
Documents and Forms
Document Name
Document Type
Form POD Informed Conse
POD Informed Consent Form
Form
POD Advanced Letter - Revised.pdf
Other-Letter to Recruited Respondent
POD Advanced Letter - Revised.pdf
Other-Letter to Recruited Respondent
POD Trifold Brochure - Revised.pdf
Other-Informational Brochure
POD Trifold Brochure - Revised.pdf
Other-Informational Brochure
POD Informed Conse Promoting Opportunity Demonstration (POD) Voluntary Part
POD Informed Consent Forms - Revised.pdf
Form
POD Informed Conse Promoting Opportunity Demonstration (POD) Voluntary Part
POD Informed Consent Forms - Revised.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
POD Informed Consent Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
POD Informed Consent Form
Promoting Opportunity Demonstration (POD) Voluntary Participation Consent Form
POD Informed Consent Forms - Revised.pdf
No
Paper Only
Other-Letter to Recruited Respondents
POD Advanced Letter - Revised.pdf
No
Paper Only
Other-Informational Brochure
POD Trifold Brochure - Revised.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:
16,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
-16,500
0
0
16,500
Annual IC Time Burden (Hours)
0
0
-2,750
0
0
2,750
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.