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Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 271786
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202411-0970-002
IC 271786
( )
Documents and Forms
Document Name
Document Type
Instrument 1 - State PREP and Competitive PREP Grantee Evaluation Activities Survey_10.3.24.docx
Other-Survey
Instrument 2 - PREIS Analysis Plan Template (002).docx
Other-Template
Instrument 3 - Sample Enrollment Progress Tool - Individual Assignment.xlsx
Other-Progress Tool
Instrument 4 - Sample Enrollment Progress Tool - Cluster Assignment.xlsx
Other-Progress Tool
SPREP CPREP PREIS OMB - SSA 10.22.24 CLEAN.docx
SSA - PREP Local Evaluation Support Instruments
IC Document
SPREP CPREP PREIS OMB - SSB 10.22.24 CLEAN.docx
SSB - PREP Local Evaluation Support Instruments
IC Document
Appendix A - Invitation email for State and CPREP grantees survey.docx
Appendix A - Invitation email for State and CPREP grantees survey
IC Document
Appendix B - Individual Assignment Tool Instructions - CLEAN.docx
Appendix B - Individual Assignment Tool Instructions
IC Document
Appendix C - Cluster Assignment Tool Instructions -CLEAN.docx
Appendix C - Cluster Assignment Tool Instructions
IC Document
Appendix D - PREIS Analysis Plan Template email - CLEAN.docx
Appendix D - PREIS Analysis Plan Template email
IC Document
Appendix E - Sample Enrollment Progress Tool email - CLEAN.docx
Appendix E - Sample Enrollment Progress Tool email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments
Agency IC Tracking Number:
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
Other-Survey
Instrument 1 - State PREP and Competitive PREP Grantee Evaluation Activities Survey_10.3.24.docx
Yes
Yes
Fillable Fileable
Other-Template
Instrument 2 - PREIS Analysis Plan Template (002).docx
Yes
Yes
Fillable Fileable
Other-Progress Tool
Instrument 3 - Sample Enrollment Progress Tool - Individual Assignment.xlsx
Yes
Yes
Fillable Fileable
Other-Progress Tool
Instrument 4 - Sample Enrollment Progress Tool - Cluster Assignment.xlsx
Yes
Yes
Printable Only
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:
218
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 %
Requested
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
262
0
0
0
0
262
Annual IC Time Burden (Hours)
184
0
0
0
0
184
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - PREP Local Evaluation Support Instruments
SPREP CPREP PREIS OMB - SSA 10.22.24 CLEAN.docx
10/22/2024
SSB - PREP Local Evaluation Support Instruments
SPREP CPREP PREIS OMB - SSB 10.22.24 CLEAN.docx
10/22/2024
Appendix A - Invitation email for State and CPREP grantees survey
Appendix A - Invitation email for State and CPREP grantees survey.docx
10/22/2024
Appendix B - Individual Assignment Tool Instructions
Appendix B - Individual Assignment Tool Instructions - CLEAN.docx
10/22/2024
Appendix C - Cluster Assignment Tool Instructions
Appendix C - Cluster Assignment Tool Instructions -CLEAN.docx
10/22/2024
Appendix D - PREIS Analysis Plan Template email
Appendix D - PREIS Analysis Plan Template email - CLEAN.docx
10/22/2024
Appendix E - Sample Enrollment Progress Tool email
Appendix E - Sample Enrollment Progress Tool email - CLEAN.docx
10/22/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.