Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1: Applicant Characteristics - Program Applicants New 90367 22820 0 Other-Survey
1: Applicant Characteristics - Program Staff New 91392 9139 0 Other-Survey
2: Program Operations New 544 174 0 Other-Survey
3: Service Delivery Data New 85680 42840 0 Other-Reporting System
4: Entrance and Exit Surveys - Program clients (entrance) New 84945 36037 0 Other-HM Adult Entrance Survey
Other-HM Youth Entrance Survey
Other-RF Community Fathers Entrance Survey
Other-RF Community Mothers Entrance Survey
Other-RF Reentering Fathers Entrance Survey
4: Entrance and Exit Surveys - Program clients (exit) New 56088 23795 0 Other-HM Adult Exit Survey
Other-HM Youth Exit Survey
Other-RF Community Fathers Exit Survey
Other-RF Community Mothers Exit Survey
Other-RF Reentering Fathers Exit Survey
4: Entrance and Exit Surveys - Program staff (entrance and exit on paper) New 37397 3740 0 Other-HM Adult Entrance Survey
Other-HM Adult Exit Survey
Other-HM Youth Entrance Survey
Other-HM Youth Exit Survey
Other-RF Community Fathers Entrance Survey
Other-RF Community Fathers Exit Survey
Other-RF Community Mothers Entrance Survey
Other-RF Community Mothers Exit Survey
Other-RF Reentering Fathers Entrance Survey
Other-RF Reentering Fathers Exit Survey
5: Semi-annual Performance Progress Report (PPR) New 272 816 0 Form and Instruction HM HM PPR
Form and Instruction RF RF PPR
6: Quarterly Performance Report (QPR) New 272 272 0 Form and Instruction HM HM QPR
Form and Instruction RF RF QPR
7: CQI Plan New 136 544 0 Other-Template
Total burden requested under this ICR: 447093 140177 0  
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