Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1: Applicant Characteristics - Program Applicants Modified 49500 12500 0 Other-Survey
1: Applicant Characteristics - Program Staff Modified 50050 5005 0 Other-Survey
2: Program Operations Modified 440 141 0 Other-Survey
3: Service Delivery Data Unchanged 47300 23650 0 Other-Reporting System
4: Entrance and Exit Surveys - Program clients (entrance) Unchanged 46694 19810 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) Unchanged 31262 13263 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) Unchanged 25740 2574 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) Modified 220 660 0 Form and Instruction HM2 HM PPR
Form and Instruction RF2 RF PPR
6: Quarterly Performance Report (QPR) Modified 220 220 0 Form and Instruction HM2 HM QPR
Form and Instruction RF2 RF QPR
7: Continuous Quality Improvement (CQI) Plan Unchanged 110 440 0 Other-Template
Total burden requested under this ICR: 251536 78263 0  
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