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[NCIPC] HEADS UO Outreach to At Risks Groups--Formative Testing 0920-1154-23CC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Focus Group Recruitment Materials - Parents Att 5_HU FG Recruitment Materials_Parents_English.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Consent Form - Parent Participant Att 2_HU Consent Form_Parent Participat_English.docx Yes Yes Fillable Fileable
Instruction Att 5_HU FG Recruitment Materials_Parents_English.docx No   Printable Only
Form and Instruction 0920-1154 Focus Group Guide: Parents Att 8_FG Guide Parents_English.docx No   Paper Only
Form and Instruction 0920-1154 Focus Group Recruitment Materials - Youth Att 4_HU FG Recruitment Materials_Youth.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Consent Form - Parent of Youth Participant Att 1_HU Consent Form_Parental Consent Form for Youth Participant.docx Yes Yes Fillable Fileable
Instruction Att 4_HU FG Recruitment Materials_Youth.docx No   Paper Only
Form and Instruction 0920-1154 Focus Group Guide: Youth Att 7_FG Guide Youth.docx No   Paper Only

Workforce Management Worker Safety

 

500 0
   
Individuals or Households
 
   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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 89 0 89 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA OMB- Supporting Statement A-FGs HU_Updated 11.29.22.docx 01/26/2023
SSB OMB- Supporting Statement B- FGs HU_12.2.22.docx 01/26/2023
Att 6_HU FG Recruitment Materials_Parents_ES-US (Spanish) Att 6_HU FG Recruitment Materials_Parents_ES-US.docx 01/26/2023
Att 9_FG Guide Parens_ES_US (Spanish) Att 9_FG Guide Parents_ES-US.docx 01/26/2023
Att 10_10502-NHSR Att. 10_10502-NHSR.pdf 01/26/2023
Privacy Act Determination HEADS UP Outreach to At Risk Groups - GenIC-PII-Privacy Act-Determination-signed.pdf 01/26/2023
STARS Clearance HEADS UP Outreach to At Risk Groups_STARS Clearance document.pdf 01/26/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.