OMB control number

Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)

OMB 0970-0413 · HHS/ACF.

OMB 0970-0413

Latest Forms, Documents, and Supporting Material

Document Name
App Z Staff Script - Talking with Clients about the Paycheck Plus Study Final 6-26-15.docx Supplementary Document
Appendix W3 PP Atlanta IRS Consent to Use Final 6-26-15.docx Supplementary Document
Appendix W2 PP Atlanta IRS Consent to Disclose Final 06-26-15.docx Supplementary Document
Appendix W1 Paycheck_Plus_ICF_Atlanta_Final 6-26-15.docx Supplementary Document
Appendix T STED_ETJD 30 Month Overview.docx Supplementary Document
STED-ETJD Supporting Statement Part B Final 6-26-15.docx Supporting Statement B
STED Young Adult to Adult Survey Comparison May 2013.docx Supplementary Document
Appendix_B.1_Informed Consent Revised May 2013 Final.docx Supplementary Document
Appendix_J_Interview Guides_26APR12.doc Supplementary Document
STED-ETJD Supporting Statement Part A Final 6-26-15.docx Supporting Statement A
Appendix Y - Participant baseline information form (Paycheck Plus) Other-Survey
Appendix X - Contact Information Form for Paycheck Plus site Other-Contact Info
Appendix U Participant 30-month survey Other-Survey
Participant 12-month survey (Young Adult sites) Other-Survey
Participant 6-month survey (Young Adult sites) Other-Survey
Program Staff Time-Use Worksheet Other-Staff-Use Worksheet
Referral Partner Interview Guides Other-Referral Partners Interview Guides
Employer Interview Guides Other-Employer Interview Guides
Program Staff Cost Data Collection Protocol Other-Protocol
Program Staff Interview Guides Other-Program Staff Interview Guides
Employer Implementation Questionnaire Other-Employer Implementation Questionnaire
Worksite Supervisor Implementation Questionnaire Other-Worksite Supervisor Implementation Questionnaire
Program Staff Implementation Questionnaire Other-Program Staff Implementation Questionnaire
Participant Focus Group Discussion Guide Other-Focus Group Guide
Participant Implementation Questionnaire Other-Questionnaire
Participant 12-month survey (Adult sites) Other-12 Month Follow-Up
Participant 6-month survey (Adult sites) Other-6-month survey
Participant ETJD tracking letters Other-Tracking Letters
Participant STED tracking letters Other-Tracking Letters
Participant Baseline Information Form Other-BIF
Participant Contact Information Form Other-Contact Info Form

All Historical Document Collections

201506-0970-017 Approved without change	Revision of a currently approved collection	2015-07-09
201405-0970-001 Approved with change	Revision of a currently approved collection	2014-06-03
201305-0970-006 Approved without change	Revision of a currently approved collection	2013-05-23
201210-0970-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-10-17
201205-0970-005 Approved with change	New collection (Request for a new OMB Control Number)	2012-05-10