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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Communications Focus Groups for Remaking the Safety Net
Agency IC Tracking Number:
OFA
IC Status:
Unchanged
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-Other-Beneficiaries Online Screener
Instrument 1 - Beneficiaries Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx
Yes
Yes
Fillable Fileable
Other-Other-Beneficiaries Telephone Screener
Instrument 2 - Beneficiaries Telephone Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx
No
Paper Only
Other-Other-Providers Online Screener
Instrument 3 - Providers Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx
Yes
Yes
Fillable Fileable
Other-Other-Providers Telephone Screener
Instrument 4 - Providers Telephone Screener_BLH Technologies, Inc. OFA RSN 7500119F737004_08 27 2020.docx
No
Paper Only
Other-Other-Beneficiaries Discussion Guide
Instrument 5 - Beneficiaries Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx
No
Paper Only
Other-Other-Providers Discussion Guide
Instrument 6 - Providers Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,032
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
6,032
0
0
0
0
6,032
Annual IC Time Burden (Hours)
2,074
0
0
0
0
2,074
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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
12/26/2020
Appendix B_Beneficiaries Telephone Screener Instructions
Appendix B_Beneficiaries Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx
12/26/2020
Appendix C_Providers Online Screener Instructions
Appendix C_Providers Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx
12/26/2020
Appendix D_Proivders Telephone Screener Instructions
Appendix D_Proivders Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx
12/26/2020
Appendix E_Beneficiaries Discussion Guide Instructions
Appendix E_Beneficiaries Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx
12/26/2020
Appendix F_Providers Discussion Guide Instructions
Appendix F_Providers Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx
12/26/2020
Supporting Statement A: Communications Focus Groups_2020
SSA Formative Data Collections for Program Support - OFA RSN 75P00119F37004_08 30 2020.docx
12/26/2020
NOA_OFA Communications Focus Groups
NOA_OFA Comms Focus Groups_9.22.2020.pdf
12/26/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.