Using Evaluation Results to Drive Decision-Making

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Document Name Document Type
0990-0421Attachment A_Using Evaluation Results_Phase 2_Interview Instrument.docx Other-interview
0990-0421 SSA_Use of Eval Results_5.22.18.docx SS_A IC Document
0990-0421Cover sheet_Use of Evaluation Results_5.22.18.docx Coversheet IC Document
0990-0421SSB_Use of Eval Results_5.22.18.docx SS_B IC Document

Information Collection (IC) Details

IC Title:	Using Evaluation Results to Drive Decision-Making	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-interview			0990-0421Attachment A_Using Evaluation Results_Phase 2_Interview Instrument.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SS_A	0990-0421 SSA_Use of Eval Results_5.22.18.docx	05/25/2018
Coversheet	0990-0421Cover sheet_Use of Evaluation Results_5.22.18.docx	05/25/2018
SS_B	0990-0421SSB_Use of Eval Results_5.22.18.docx	05/25/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.