View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
4: Entrance and Exit Surveys - Program staff (entrance and exit on paper)
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-HM Adult Entrance Survey
Attachment_H_Instrument_4HM_1_Adult_EntranceSurvey.docx
Yes
Yes
Fillable Fileable
Other-HM Adult Exit Survey
Attachment_H_Instrument_4HM_2_Adult_ExitSurvey.docx
Yes
Yes
Fillable Fileable
Other-HM Youth Entrance Survey
Attachment_H_Instrument_4HM_3_Youth_EntranceSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-HM Youth Exit Survey
Attachment_H_Instrument_4HM_4_Youth_ExitSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Community Fathers Entrance Survey
Attachment_H_Instrument_4RF_1_CommunityFathers_EntranceSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Community Fathers Exit Survey
Attachment_H_Instrument_4RF_2_CommunityFathers_ExitSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Community Mothers Entrance Survey
Attachment_H_Instrument_4RF_3_CommunityMothers_EntranceSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Community Mothers Exit Survey
Attachment_H_Instrument_4RF_4_CommunityMothers_ExitSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Reentering Fathers Entrance Survey
Attachment_H_Instrument_4RF_5_ReenteringFathers_EntranceSurvey_clean.docx
Yes
Yes
Fillable Fileable
Other-RF Reentering Fathers Exit Survey
Attachment_H_Instrument_4RF_6_ReenteringFathers_ExitSurvey_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:
OPRE Research and Evaluation Project Records
FR Citation:
87 FR 57198
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
25,740
0
-11,657
0
0
37,397
Annual IC Time Burden (Hours)
2,574
0
-1,166
0
0
3,740
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.