Focus groups with Exiters and Possible Exiters (icl. informed consent and pre-collections) questions

SSA Beyond Benefits Study (BBS) Data Collection

OMB: 0960-0836

IC ID: 265146

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0836 can be found here:

2024-12-05 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Attachment A-3. Possible Exiters Focus Group Protocol.pdf Other-. Possible Exiters Focus Group
Attachment A-3. Possible Exiters Focus Group Protocol.pdf Other-. Possible Exiters Focus Group
Attachment A-4. Exiters Focus Group Protocol.pdf Other-Exiters Focus Group Protocol
Attachment A-4. Exiters Focus Group Protocol.pdf Other-Exiters Focus Group Protocol
Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf Other-Exiter and Possible Exiter Foc
Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf Other-Exiter and Possible Exiter Foc
Attachment A-12. Exiter and Possible Exiter Focus Group recruitment call script.pdf Other- Exiter and Possible Exiter Fo
Attachment A-12. Exiter and Possible Exiter Focus Group recruitment call script.pdf Other- Exiter and Possible Exiter Fo
Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf Other- Exiter and Possible Exiter Su
Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf Other- Exiter and Possible Exiter Su
Attachment A-17. Exiter and Possible Exiter Survey Reminder Postcard.pdf Other-Exiter and Possible Exiter Sur
Attachment A-17. Exiter and Possible Exiter Survey Reminder Postcard.pdf Other-Exiter and Possible Exiter Sur
Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter.pdf Other-Exiter and Possible Exiter Sur
Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter.pdf Other-Exiter and Possible Exiter Sur
Attachment A-19. Exiter and Possible Exiter Survey NR Script.pdf Other- Exiter and Possible Exiter Su
Attachment A-19. Exiter and Possible Exiter Survey NR Script.pdf Other- Exiter and Possible Exiter Su
Attachment A-20. Pre-collection instrument.pdf Other- Pre-collection instrument
Attachment A-20. Pre-collection instrument.pdf Other- Pre-collection instrument
Attachment A-22. Text Message Reminders.pdf Other-Text Message Reminders
Attachment A-22. Text Message Reminders.pdf Other-Text Message Reminders

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus groups with Exiters and Possible Exiters (icl. informed consent and pre-collections) questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-. Possible Exiters Focus Group Protocol.	Attachment A-3. Possible Exiters Focus Group Protocol.pdf	No	Paper Only
Other-Exiters Focus Group Protocol	Attachment A-4. Exiters Focus Group Protocol.pdf	No	Paper Only
Other-Exiter and Possible Exiter Focus Group Letter and Consent	Attachment A-11. Exiter and Possible Exiter Focus Group Letter and Consent.pdf	No	Paper Only
Other- Exiter and Possible Exiter Focus Group recruitment call script	Attachment A-12. Exiter and Possible Exiter Focus Group recruitment call script.pdf	No	Paper Only
Other- Exiter and Possible Exiter Survey Letter and Consent	Attachment A-16. Exiter and Possible Exiter Survey Letter and Consent.pdf	No	Paper Only
Other-Exiter and Possible Exiter Survey Reminder Postcard	Attachment A-17. Exiter and Possible Exiter Survey Reminder Postcard.pdf	No	Paper Only
Other-Exiter and Possible Exiter Survey Reminder Letter	Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter.pdf	No	Paper Only
Other- Exiter and Possible Exiter Survey NR Script	Attachment A-19. Exiter and Possible Exiter Survey NR Script.pdf	No	Paper Only
Other- Pre-collection instrument	Attachment A-20. Pre-collection instrument.pdf	No	Paper Only
Other-Text Message Reminders	Attachment A-22. Text Message Reminders.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: 140	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	140	140
Annual IC Time Burden (Hours)	152	152
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.