View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	4: Exit Surveys - Program staff (exit survey data entry)	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 Exit Survey					Yes	Yes	Fillable Fileable
Other-HM Youth Exit Survey					Yes	Yes	Fillable Fileable
Other-RF Community Fathers Exit Survey					Yes	Yes	Fillable Fileable
Other-RF Reentering Fathers Exit Survey					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: 218	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	5,813	0	-19,927	0	0	25,740
Annual IC Time Burden (Hours)	581	0	-1,993	0	0	2,574
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.

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