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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Next Generation of Enhanced Employment Strategies Project - MOMS Partnership
Agency IC Tracking Number:
OPRE
IC Status:
Unchanged
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-Survey
Instrument A- Survey of Orientation Attendees_V3.clean.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Protocol
Instrument B-Focus group of orientation facilitators_V3_clean.docx
Yes
Yes
Printable Only
Other-Survey
Instrument C- Survey of Stress Management Course Attendees_V3_clean.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Protocol
Instrument D-Focus group of Stress Management Course Faciliators_V3.clean.docx
Yes
Yes
Printable Only
Other-Survey
Instrument E- Survey of MOMS Moving Forward session Attendees_V3_clean.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Protocol
Instrument F-Focus group of MOMS Moving Forward coaches_V3.clean.docx
Yes
Yes
Printable Only
Other-Survey
Instrument G-Referral staff survey_V3_clean.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument H- Potential Participants Survey_V3.clean.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Protocol
Instrument I-Focus group of referral staff_V3.clean.docx
Yes
Yes
Printable Only
Other-Focus Group Protocol
Instrument J-Focus group of intake specialists_V3.clean.docx
Yes
Yes
Printable Only
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:
468
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
1,404
0
0
0
0
1,404
Annual IC Time Burden (Hours)
255
0
0
0
0
255
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Program Support GenIC - NextGen MOMS Program
MOMS-OMB_PartA_Draft_V3 clean_rev.docx
09/15/2021
SSB - Program Support GenIC - NextGen MOMS Program
MOMS-OMB_PartB_Draft_V3_clean.docx
09/15/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.