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View Information Collection (IC)

View Information Collection (IC)

Program Evaluation, Effectiveness and Review Services Strategic Prevention Framework – Partnerships for Success (PEERS SPF-PFS) Evaluation
 
New
 
Voluntary
 
5 CFR 1320.8(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Community Tribal Subrecipient Survey Community Tribal Subrecipient Survey Clean Appx A-1. PFS Grantee Survey - Comm.Tribal.Subrecip.docx Yes Yes Fillable Fileable
Form and Instruction State Survey State Survey Clean Appx A-2. PFS Grantee Survey - State.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)   75 FR 28264

276 0
   
State, Local, and Tribal Governments
 
   100 %

  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 276 0 276 0 0 0
Annual IC Time Burden (Hours) 138 0 138 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Grantee Survey Glossary Clean Appx B. PFS Grantee Survey Glossary.docx 08/01/2024
Grantee Survey Outreach Email Clean Appx C. PFS Grantee Survey Outreach Email.docx 08/01/2024
PEERS SPF-PFS Template Request Clean Generic OMB Request_PFS Grantee Survey.docx 08/01/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.