Success Sequence Interviews – Pre-Test

Pre-testing of Evaluation Data Collection Activities

OMB: 0970-0355

IC ID: 249159

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Screener
Other-Interview and Debrief Protocol
Other-Interview and Debrief Protocol
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Success Sequence Interviews – Pre-Test OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Instrument 1. Success Sequence Pre-test Screener 8.27.21_clean.docx Yes Yes Fillable Fileable
Other-Interview and Debrief Protocol Instrument 2. Success Sequence Pre-Test Interview and Debrief Protocol 8.27.21_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

120 0
   
Individuals or Households
 
   0 %

  Requested 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 160 0 0 0 0 160
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Pretesting GenIC: Success Sequence SSA Success Sequence Cog Pretesting.Aug 2021.docx 09/02/2021
SSB - Pretesting GenIC: Success Sequence Success Sequence Generic SSB for Pre-test 8.27.21_clean (002).docx 09/02/2021
Appendix A. Success Sequence Pre-test Recruitment Materials Appendix A. Success Sequence Pre-test Recruitment Materials 8.27.21_clean.docx 09/02/2021
Appendix B. Pre-test Consent Form Appendix B. Pre-test Consent Form 8.27.21_clean.docx 09/02/2021
Appendix C. QualBoard Invitation Email Sample Screen Shots Appendix C. QualBoard Invitation Email Sample Screen Shots.docx 09/02/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy