Participant entry survey

Personal Responsibility Education Program (PREP) Multi-Component Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0398 can be found here:

Documents and Forms

Document Name Document Type
PREP Eval - PAS & B - Ins 1 - Participant Entry Survey - Clean - 11-20-12.docx Other-Survey

Information Collection (IC) Details

IC Title:	Participant entry survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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			PREP Eval - PAS & B - Ins 1 - Participant Entry Survey - Clean - 11-20-12.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58,035	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58,035	22,932	35,103
Annual IC Time Burden (Hours)	4,836	1,911	2,925
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.