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Adult Program Pilot
Office of Financial Education and Financial Access Assessing Financial Capability Outcomes (AFCO) Pilot
OMB: 1505-0242
IC ID: 200242
OMB.report
TREAS/DO
OMB 1505-0242
ICR 201111-1505-004
IC 200242
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0242 can be found here:
2013-01-17 - Revision of a currently approved collection
2012-05-29 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
adult pilot_ post card 01.05.11.docx
Other-Post Card
adult pilot_Baseline Survey_01.16.11 .docx
Other-Survey
adult pilot_BP data release form.doc
Other-Release
adult pilot_consent form_12.15.12.doc
Other-Consent
adult pilot_consent script 01.15.12.docx
Other-Consent Script
adult pilot_cover letters_POP 01.15.12 .docx
Other-Cover Letter
adult pilot_FUsurvey_01.15.12 .docx
Other-Survey
adult pilot_onsite survey guidance 01.15.12.docx
Other-Survey Guidance
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adult Program Pilot
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
adult pilot_FUsurvey_01.15.12 .docx
Yes
No
Printable Only
Other-Release
adult pilot_BP data release form.doc
Yes
No
Printable Only
Other-Consent
adult pilot_consent form_12.15.12.doc
Yes
No
Printable Only
Other-Consent Script
adult pilot_consent script 01.15.12.docx
Yes
No
Printable Only
Other-Survey
adult pilot_Baseline Survey_01.16.11 .docx
Yes
No
Printable Only
Other-Survey Guidance
adult pilot_onsite survey guidance 01.15.12.docx
Yes
No
Printable Only
Other-Cover Letter
adult pilot_cover letters_POP 01.15.12 .docx
Yes
No
Printable Only
Other-Post Card
adult pilot_ post card 01.05.11.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
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
1,000
1,000
0
0
0
0
Annual IC Time Burden (Hours)
1,000
1,000
0
0
0
0
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.