Bundled Evaluation

AmeriCorps Program Life Cycle Evaluation – Puerto Rico Bundled Evaluation

Documents and Forms

Document Name Document Type
Form PRBE Bundled Evaluation Form and Instruction
Form PRBE Bundled Evaluation Form and Instruction
PRBE Bundled Evaluation - Puerto Rico 0202 - PR Bundle Instruments Combined_EDITED-Clean.docx Form and Instruction
PRBE Bundled Evaluation - Puerto Rico 0202 - PR Bundle Instruments Combined_EDITED-Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Bundled Evaluation	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	PRBE	Bundled Evaluation - Puerto Rico	0202 - PR Bundle Instruments Combined_EDITED-Clean.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: 697	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	697	697
Annual IC Time Burden (Hours)	530	530
Annual IC Cost Burden (Dollars)	7,825	7,825

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.