View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Instrument 1 - Participant Entry Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Current Entry Survey HS and Older Youth
Instrument 1a (Current) Participant Entry Survey for high school and older youth.docx
Yes
Yes
Fillable Fileable
Other-2026 Participant Entry Survey HS and Older Youth
Instrument 1a (Implement 2026) Participant Entry Survey for high school and older youth_clean.docx
Yes
Yes
Fillable Fileable
Other-Current Participant Entry Survey for middle school youth
Instrument 1b (Current) Participant Entry Survey for middle school youth.docx
Yes
Yes
Fillable Fileable
Other-2026 Participant Entry Survey for middle school youth
Instrument 1b (Implement 2026) Participant Entry Survey for middle school youth_clean.docx
Yes
Yes
Fillable Fileable
Other-Current Participant Entry Survey for high school and older youth in programs with impact evaluations
Instrument 1c (Current) Participant Entry Survey for high school and older youth in programs with impact evaluations.docx
Yes
Yes
Fillable Fileable
Other-2026 Participant Entry Survey for high school and older youth in programs with impact evaluations
Instrument 1c (Implement 2026) Participant Entry Survey for high school and older youth in programs with impact evaluations_clean.docx
Yes
Yes
Fillable Fileable
Other-Current Participant Entry Survey for middle school youth in programs with impact evaluations
Instrument 1d (Current) Participant Entry Survey for middle school youth in programs with impact evaluations.docx
Yes
Yes
Fillable Fileable
Other-2026 Participant Entry Survey for middle school youth in programs with impact evaluations
Instrument 1d (Implement 2026) Participant Entry Survey for middle school youth in programs with impact evaluations_clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
627,636
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
209,191
0
-254,662
0
0
463,853
Annual IC Time Burden (Hours)
19,171
0
-42,666
0
0
61,837
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.