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Participant Entry Survey (Instrument 1, all versions)
Personal Responsibility Education Program (PREP) Performance Measures
OMB: 0970-0497
IC ID: 223549
OMB.report
HHS/ACF
OMB 0970-0497
ICR 202306-0970-003
IC 223549
( )
Documents and Forms
Document Name
Document Type
Instrument 1_PREP HS Entry.docx
Other-Survey
Instrument 1_PREP HS Entry.docx
Other-Survey
Instrument 1a_PREP MS Entry.docx
Other-Survey
Instrument 1a_PREP MS Entry.docx
Other-Survey
Instrument 1b_PREP PREIS Tribal HS Entry.docx
Other-Survey
Instrument 1b_PREP PREIS Tribal HS Entry.docx
Other-Survey
Instrument 1c PREP PREIS Tribal MS Entry.docx
Other-Survey
Instrument 1c PREP PREIS Tribal MS Entry.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Participant Entry Survey (Instrument 1, all versions)
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 1_PREP HS Entry.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 1a_PREP MS Entry.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 1b_PREP PREIS Tribal HS Entry.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 1c PREP PREIS Tribal MS Entry.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:
351,001
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
117,000
0
0
0
0
117,000
Annual IC Time Burden (Hours)
15,600
0
0
0
0
15,600
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.