Instrument 3 - Performance Reporting Data Entry Form

OPRE Descriptive Study - Sexual Risk Avoidance Education Program Performance Analysis Study (SRAE PAS) [Descriptive Study - Performance Measures]

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0536 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Instrument 3 - Performance Reporting Data Entry Form Form and Instruction
1 SRAE Performance Reporting System Data Entry Form Instrument 3_SRAE Performance Reporting System Data Entry Form_clean_122120.docx Form and Instruction
1 SRAE Performance Reporting System Data Entry Form Instrument 3_SRAE Performance Reporting System Data Entry Form_clean_122120.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Instrument 3 - Performance Reporting Data Entry Form	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
Form and Instruction	1	SRAE Performance Reporting System Data Entry Form	Instrument 3_SRAE Performance Reporting System Data Entry Form_clean_122120.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: 177	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	354	80	274
Annual IC Time Burden (Hours)	5,841	1,183	4,658
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.