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Exit Survey (Instrument 2)
Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS)
OMB: 0970-0497
IC ID: 223552
OMB.report
HHS/ACF
OMB 0970-0497
ICR 202110-0970-004
IC 223552
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0497 can be found here:
2023-06-07 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 2_PREP HS Exit_CLEAN.docx
Other-Survey
Instrument 2_PREP HS Exit_CLEAN.docx
Other-Survey
Instrument 2a_PREP MS Exit_CLEAN.docx
Other-Survey
Instrument 2a_PREP MS Exit_CLEAN.docx
Other-Survey
Instrument 2b_PREP PREIS Tribal HS Exit_CLEAN.docx
Other-Survey
Instrument 2b_PREP PREIS Tribal HS Exit_CLEAN.docx
Other-Survey
Instrument 2c PREP PREIS Tribal_MS Exit_CLEAN.docx
Other-Survey
Instrument 2c PREP PREIS Tribal_MS Exit_CLEAN.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Exit Survey (Instrument 2)
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
Instrument 2_PREP HS Exit_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 2a_PREP MS Exit_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 2b_PREP PREIS Tribal HS Exit_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 2c PREP PREIS Tribal_MS Exit_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:
320,203
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
106,733
0
9,526
0
0
97,207
Annual IC Time Burden (Hours)
12,453
0
-508
0
0
12,961
Annual IC Cost Burden (Dollars)
0
0
0
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.