Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1: Program Application and Enrollment - Program applicants (1b: entrance survey) Modified 45000 15300 0 Other-Survey
Other-Survey
Other-Survey
Other-Survey
1: Program Application and Enrollment - Program staff (1a: application form) Modified 45017 4502 0 Other-Application Form
1: Program Application and Enrollment - Program staff (1b: entrance survey data entry) New 9011 901 0 Other-Survey
Other-Survey
Other-Survey
Other-Survey
2: Program Operations - Program Staff Modified 109 35 0 Other-Survey
3: Service Delivery Data - Program staff (data entry) Modified 42510 15304 0 Other-Reporting System
4: Entrance and Exit Surveys - Program clients (exit) Removed 0 0 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: Exit Surveys - Participants Modified 29187 8172 0 Other-HM Adult Exit Survey
Other-HM Youth Exit Survey
Other-RF Community Fathers Exit Survey
Other-RF Reentering Fathers Exit Survey
4: Exit Surveys - Program staff (exit survey data entry) Modified 5813 581 0 Other-HM Adult Exit Survey
Other-HM Youth Exit Survey
Other-RF Community Fathers Exit Survey
Other-RF Reentering Fathers Exit Survey
5: Annual Performance Progress Report (PPR) - Program Staff Modified 109 327 0 Form and Instruction 1
6: Quarterly Performance Report (QPR) Removed 0 0 0 Form and Instruction HM2
Form and Instruction RF2
7: Continuous Quality Improvement (CQI) Plan Removed 0 0 0 Other-Template
Total burden requested under this ICR: 176756 45122 0  
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