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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Administration for Children and Families Youth Programs –Youth Participant Entry and Exit Survey Pretest
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 to pretest
Instrument 1_SRAE Participant Entry Survey high school and older_062425clean.docx
No
Paper Only
Other-Survey to pretest
Instrument 2_SRAE Participant Entry Survey middle school_062425clean.docx
No
Paper Only
Other-Survey to pretest
Instrument 3_SRAE Participant Exit Survey_high school_clean062425.docx
No
Paper Only
Other-Survey to pretest
Instrument 4_SRAE Participant Exit Survey_middle school_clean062425.docx
No
Paper Only
Other-Survey to pretest
Instrument 5_PREP High School Participant Entry Survey_clean_062525.docx
No
Paper Only
Other-Survey to pretest
Instrument 6_PREP Middle School Participant Entry Survey_062425.docx
No
Paper Only
Other-Survey to pretest
Instrument 7_PREP High School Participant Exit Survey_clean062525.docx
No
Paper Only
Other-Survey to pretest
Instrument 8_PREP Middle School Participant Exit Survey_clean062425.docx
No
Paper Only
Other-Focus Group Protocol
Instrument 9. Pretest Focus Group Protocol_clean_mj_cb 061625_clean.docx
No
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:
72
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
72
0
72
0
0
0
Annual IC Time Burden (Hours)
91
0
91
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS_PMs_071425_CLEAN.docx
07/17/2025
SSB Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS_PMs_updated 071425_CLEAN.docx
07/17/2025
Appendix A - Consent and Assent Forms
Appendix A_Consent and Assent Forms_071525_clean.docx
07/17/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.