Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PABSS Provider Survey New 46 21 0 Other-Survey Invitaton Email (Week 1)
Other-Survey Invitation Email (Week 1.5)
Other-Survey Invitation Email (Week 3)
Other-Survey Invitation Email (Week 4.5)
Other-Survey Invitation Email (Week 6)
Other-Survey Invitation Email (Week 7.5)
Other-Survey Instrument
TTW Provider Survey New 353 224 0 Other-Invitation Letter Packet (Week 1)
Other-Survey Invitaton Email (Week 1.5)
Other-Survey Reminder Email (Week 3)
Other-Survey Reminder Email (Week 4.5)
Other-Survey Reminder Email (Week 6)
Other-Survey Reminder Email (Week 7.5)
Other-Survey Instrument
Ticketholder: Ticket to Work Non-User - Qualitative Interviews New 10 7 0 Other-Cover Letter
Other-Qualitative Interview Topics
Ticketholder: Ticket to Work Users - Qualitative Interviews New 70 60 0 Other-Outreach Letter
Other-Qualitative Interview Topics
Ticketholder: WIPA Users - Qualitative Interviews New 20 17 0 Other-Cover Letter
Other-Qualitative Interview Topics
WIPA Provider Survey New 59 37 0 Other-Survey Invitaton Email (Week 1)
Other-Survey Invitation Email (Week 1.5)
Other-Survey Invitation Email (Week 3)
Other-Survey Invitation Email (Week 4.5)
Other-Survey Invitation Email (Week 6)
Other-Survey Invitation Email (Week 7.5)
Other-Survey Instrument
Total burden requested under this ICR: 558 366 0  
To view an IC, click on IC Title