Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
POD Baseline Survey Removed 0 0 0 Form and Instruction N/A
POD End of Year Reporting (EOYR) Documentation Modified 2000 267 0 Other-Letter and Instructions for Submission of Documentation
POD Informed Consent Form Removed 0 0 0 Form POD Informed Consent Form
Other-Letter to Recruited Respondents
Other-Informational Brochure
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online Modified 6000 500 0 Form N/A
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper Modified 6000 4000 0 Form and Instruction N/A
POD Onsite Audit of Sample of Case Files in MIS Removed 0 0 0 Other-Interview Topics and Assessment of Implementation Fidelity
POD Semi-Structured Interviews with Treatment Group Subjects Removed 0 0 0 Other-Interview Topics
POD Staff Interviews with Site Staff Removed 0 0 0 Other-Interview Topics and Explanation
POD Year 1 Follow-up Survey Removed 0 0 0 Other-Follow-up Surveys
Other-Follow-up Survey Letters
POD Year 2 Follow-up Surveys Removed 0 0 0 Other-Follow-up Surveys
Other-Follow-up Survey Letters
Total burden requested under this ICR: 14000 4767 0  
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