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Instrument 3 - Performance Reporting Data Entry Form
OPRE Descriptive Study - Sexual Risk Avoidance Education Program Performance Analysis Study (SRAE PAS) [Descriptive Study - Performance Measures]
OMB: 0970-0536
IC ID: 236138
OMB.report
HHS/ACF
OMB 0970-0536
ICR 202312-0970-001
IC 236138
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0536 can be found here:
2024-11-20 - Extension without change of a currently approved collection
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_091321_clean.docx
Form and Instruction
1 SRAE Performance Reporting System Data Entry Form
Instrument 3_SRAE Performance Reporting System Data Entry Form_091321_clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument 3 - Performance Reporting Data Entry Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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_091321_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:
192
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:
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
384
0
0
0
0
384
Annual IC Time Burden (Hours)
6,144
0
0
0
0
6,144
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.