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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
The Exploring Measurement of Performance Outcomes and Work Requirements in Programs Promoting Economic Independence (EMPOWERED) Study
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Guide
04_50504 Attachment A_Master discussion guide_revised.docx
No
Fillable Fileable
Other-recruitment
06_50504 Attachment C Recruitment email from MPR.docx
No
Paper Only
Other-study
07_50504 Attachment D Study description.docx
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
186
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
186
0
186
0
0
0
Annual IC Time Burden (Hours)
279
0
279
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS_A
02_50504 ASPE Generic_SupportingStatement A_revised.docx
06/15/2018
SS_B
03_50504 ASPE Generic_SupportingStatement B_revised.docx
06/15/2018
Mini SS
01_50504 ASPE Generic_Short Supporting Statement_revised.docx
06/15/2018
email from ASPE
05_50504 Attachment B Recruitment email from ASPE.docx
06/15/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.