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Federal forms, ICRs, and supporting documents

Information Collection

Your Money, Your Goals Toolkit Customer Surveys and Select Field Tests

IC 211626 under ICR 201405-3170-001 · OMB 3170-0038.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
NR1-Train-the-Trainer Feedback Survey (Final).pdf Other-Survey
NR2-Trainer Feedback Following Usage with Case Managers and Other Frontline Staff (Final).pdf Other-Survey
NR3A-Case Manager Training Pre-Survey (Final).pdf Other-Survey
NR3B-Case Manager Training Post-Survey (Final).pdf Other-Survey
NR4 - Follow-Up Survey for Case Managers and Other Front Line Staff (Final).pdf Other-Survey
LA1-Post-Train-the-Trainer Feedback Survey (Final).pdf Other-Survey
LA2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf Other-Survey
LA3A-Training Pre-Survey (Final).pdf Other-Survey
LA3B-Training Post-Survey (Final).pdf Other-Survey
CV1-Post-Train-the-Trainer Feedback Survey (Final).pdf Other-Survey
CV2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf Other-Survey
CV3A-Training Pre-Survey (Final).pdf Other-Survey
CV3B-Training Post-Survey (Final).pdf Other-Survey
Labor1-Post-Train-the-Trainer Feedback Survey (Final).pdf Other-Survey
Labor2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf Other-Survey
Labor3A-Training Pre-Survey (Final).pdf Other-Survey
Labor3B-Training Post-Survey (Final).pdf Other-Survey
Labor4-Three-Month Survey (Final).pdf Other-Survey
3170-0038 - IC Template Train the Trainer YMYG (Final).pdf
IC Template for YMYG		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey NR1-Train-the-Trainer Feedback Survey (Final).pdf Yes Yes Fillable Fileable
Other-Survey NR2-Trainer Feedback Following Usage with Case Managers and Other Frontline Staff (Final).pdf Yes Yes Fillable Fileable
Other-Survey NR3A-Case Manager Training Pre-Survey (Final).pdf No   Paper Only
Other-Survey NR3B-Case Manager Training Post-Survey (Final).pdf No   Paper Only
Other-Survey NR4 - Follow-Up Survey for Case Managers and Other Front Line Staff (Final).pdf No   Paper Only
Other-Survey LA1-Post-Train-the-Trainer Feedback Survey (Final).pdf No   Paper Only
Other-Survey LA2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf No   Paper Only
Other-Survey LA3A-Training Pre-Survey (Final).pdf No   Paper Only
Other-Survey LA3B-Training Post-Survey (Final).pdf No   Paper Only
Other-Survey CV1-Post-Train-the-Trainer Feedback Survey (Final).pdf No   Paper Only
Other-Survey CV2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf No   Paper Only
Other-Survey CV3A-Training Pre-Survey (Final).pdf No   Paper Only
Other-Survey CV3B-Training Post-Survey (Final).pdf No   Paper Only
Other-Survey Labor1-Post-Train-the-Trainer Feedback Survey (Final).pdf No   Paper Only
Other-Survey Labor2-Survey for Trainer Feedback on Curriculum Following Usage (Final).pdf No   Paper Only
Other-Survey Labor3A-Training Pre-Survey (Final).pdf No   Paper Only
Other-Survey Labor3B-Training Post-Survey (Final).pdf No   Paper Only
Other-Survey Labor4-Three-Month Survey (Final).pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 6,305 0 6,305 0 0 0
Annual IC Time Burden (Hours) 1,396 0 1,396 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
IC Template for YMYG 3170-0038 - IC Template Train the Trainer YMYG (Final).pdf 05/15/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.