Baseline Survey

Personal Responsibility Education Program (PREP) Multi-Component Evaluation

OMB: 0970-0398

IC ID: 203228

Information Collection (IC) Details

View Information Collection (IC)

Baseline Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey PREP Eval - PAS+Baseline - Instrument 6 - HFSA baseline - Clean - 2-28-13.pdf Yes Yes Fillable Fileable
Other-Survey PREP Eval - PAS+B - Instrument 6 - Master baseline - Clean - 2-28-13.pdf Yes Yes Fillable Fileable
Other-Survey PREP NY Baseline Survey_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,900 0
   
Individuals or Households
 
   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 1,900 0 0 0 0 1,900
Annual IC Time Burden (Hours) 1,425 0 0 0 0 1,425
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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