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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Chafee Strengthening Outcomes for Transition to Adulthood Project: Impact Evaluation of My First Place
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
Instrument A. MFP Baseline Instrument_clean.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument B. MFP Follow Up Instrument_clean.docx
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:
FR Citation:
Number of Respondents:
600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
1,680
0
1,680
0
0
0
Annual IC Time Burden (Hours)
840
0
840
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Chafee SOTA GenIC - My First Place
Supporting Statement A - Chafee SOTA - MFP_Revised v5_clean.docx
06/29/2026
SSB - Chafee SOTA GenIC - My First Place
Supporting Statement B - Chafee SOTA - MFP_Revised v5_clean.docx
06/29/2026
Appendix 1: Consent to Contact Form
Appendix 1_Consent to Contact Form_clean.docx
06/29/2026
Appendix 2: Recruitment FAQs
Appendix 2. Chafee SOTA Frequently Asked Questions_clean.docx
06/29/2026
Appendix 3: Informed Consent Form
Appendix 3. Study Informed Consent_clean.docx
06/29/2026
NOA - Chafee SOTA GenIC - My First Place
NOA_Chafee GenIC - My First Place_0970-0618_6.22.26.pdf
06/29/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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