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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Evaluation of the U.S Marine Corps' Prime for Life 4.5 Program
Agency IC Tracking Number:
IC Status:
New
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
T5_OMB_PFL_A_Baseline and Follow-Up Survey Specs_20250522.docx
Yes
Yes
Fillable Fileable
Other-Survey
0704-0644_PFL_C_Participant Feedback Form Specs_4.28.25.docx
Yes
Yes
Fillable Fileable
Other-Worksheet
0704_0644_PFL_E_Instructor Fidelity Worksheet Specs_4.28.25.docx
Yes
Yes
Fillable Fileable
Other-Interview Guide
0704-0644_PFL_H_Instructor Interview Guide_04.28.25.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,215
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,260
0
3,260
0
0
0
Annual IC Time Burden (Hours)
656
0
656
0
0
0
Annual IC Cost Burden (Dollars)
7,912
0
7,912
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
0704-0644_PFL_SSA_6.9.25.docx
06/09/2025
Supporting Statement B
T5_OMB_PFL_SSB_04.28.25.docx
06/04/2025
Baseline Recruitment Materials
0704-0644_PFL_B_Baseline Recruitment Materials_4.28.docx
06/04/2025
Participant Feedback Form Recruitment Materials
0704-0644_PFL_D_Participant Feedback Form Recruitment Materials_4.28.docx
06/04/2025
Instructor Fidelity Worksheet Recruitment Materials
0704-0644_PFL_F_Instructor Fidelity Worksheet Recruitment Materials_4.28.docx
06/04/2025
Follow-Up Survey Recruitment Materials
0704-0644_PFL_G_Follow-Up Survey Recruitment Materials_4.28.docx
06/04/2025
Instructor Interview Recruitment Materials
0704-0644_PFL_I_Instructor Interview Recruitment Materials_04.28.docx
06/04/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.