OMB control number

Understanding the Dynamics of Disconnection from Employment and Assistance

OMB 0970-0434 · HHS/ACF.

OMB 0970-0434

Latest Forms, Documents, and Supporting Material

Document Name
Dynamics of Disconnection OMB Package Part B REVISED.doc Supporting Statement B
Appendix G - Certificate of Approval from Institutional Review Board (IRB) of the Urban Institute.pdf Supplementary Document
Appendix F - The Urban Institute Staff Confidentiality Pledge.docx Supplementary Document
Appendix C - Review of Evidence on Disconnection.docx Supplementary Document
Appendix E - Understanding Disconnection From Employment and Assistance Expert Roundtable Participants.docx Supplementary Document
Appendix B-2 - Recruitment Letter - Michigan Site REV.docx Supplementary Document
Appendix B-1S - Advertisement Flyer (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix B-1 - Advertisement Flyer - Los Angeles Site REV.docx Supplementary Document
Appendix A-9S - Conversation Guide (Spanish).docx Supplementary Document
Appendix A-6S - Consent Form for Linking Data (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix A-5S - Receipt of Payment Form (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix A-4S - Consent Form For Interviews (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix A-3S - Follow-up Telephone Script to Schedule Interviews (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix A-2S - Telephone Recruitment Script and Screener (Spanish) - Los Angeles Site.docx Supplementary Document
Appendix A-1S - Advertisement Script (Spanish) - Los Angeles Site.docx Supplementary Document
Dynamics of Disconnection OMB Package Part A REVISED updated 4-18-13.doc Supporting Statement A
Conversation Guide Other-Discussion Guide
Consent Form for Interviews - Michigan Site Other-Consent
Appendix A-7 - Telephone Recruitment Script and Screener - Michigan Site Other-Recruitment/Screener
Consent Form for Linking Data - Los Angeles Site Other-Consent
Receipt of Payment Form - Los Angeles Site Other-Receipt Payment
Consent Form For Interviews - Los Angeles Site Other-Consent
Follow-up Telephone Script to Schedule Interviews Other-Recruitment
Telephone Recruitment Script and Screener - Los Angeles Site Other-Screening Material
Advertisement Script - Los Angeles Site Other-Recruitment Materials

All Historical Document Collections

201212-0970-004

Approved with change

New collection (Request for a new OMB Control Number)

2012-12-17