OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Communications Focus Groups for Remaking the Safety Net

IC 243673 under ICR 202004-0970-006 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Beneficiaries Online Screener
Other-Beneficiaries Telephone Screen
Other-Providers Online Screener
Other-Providers Telephone Screener
Other-Beneficiaries Discussion Guide
Other-Providers Discussion Guide
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Communications Focus Groups for Remaking the Safety Net OFA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Beneficiaries Online Screener Instrument 1 - Beneficiaries Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx Yes Yes Fillable Fileable
Other-Beneficiaries Telephone Screener Instrument 2 - Beneficiaries Telephone Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx No   Paper Only
Other-Providers Online Screener Instrument 3 - Providers Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx Yes Yes Fillable Fileable
Other-Providers Telephone Screener Instrument 4 - Providers Telephone Screener_BLH Technologies, Inc. OFA RSN 7500119F737004_08 27 2020.docx No   Paper Only
Other-Beneficiaries Discussion Guide Instrument 5 - Beneficiaries Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx No   Paper Only
Other-Providers Discussion Guide Instrument 6 - Providers Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx No   Paper Only

Community and Social Services Social Services

 

6,032 0
   
Individuals or Households
 
   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 6,032 0 6,032 0 0 0
Annual IC Time Burden (Hours) 2,074 0 2,074 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix A_Beneficiaries Online Screener Instructions Appendix A_Beneficiaries Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx 09/17/2020
Appendix B_Beneficiaries Telephone Screener Instructions Appendix B_Beneficiaries Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx 09/17/2020
Appendix C_Providers Online Screener Instructions Appendix C_Providers Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx 09/17/2020
Appendix D_Proivders Telephone Screener Instructions Appendix D_Proivders Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx 09/17/2020
Appendix E_Beneficiaries Discussion Guide Instructions Appendix E_Beneficiaries Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx 09/17/2020
Appendix F_Providers Discussion Guide Instructions Appendix F_Providers Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx 09/17/2020
Supporting Statement A: Communications Focus Groups_2020 SSA Formative Data Collections for Program Support - OFA RSN 75P00119F37004_08 30 2020.docx 09/17/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.