Information Collection

Project Prevent Needs Assessment Template

IC 213800 under ICR 201408-1800-002 · OMB 1800-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1800-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Project Prevent Needs Assessment Template	Form and Instruction
Project Prevent Nov 2014 Initial Needs Assessment v3 (10 29 2014).docx	Form and Instruction
Att_Generic_Clearance_OMB_Template_Instrument_NEEDS_ASSESSMENTS_PP grant....docx Generic Template	IC Document

IC Title:

Project Prevent Needs Assessment Template

Agency IC Tracking Number:

182

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	N/A	N/A	Project Prevent Nov 2014 Initial Needs Assessment v3 (10 29 2014).docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	Att_Generic_Clearance_OMB_Template_Instrument_NEEDS_ASSESSMENTS_PP grant....docx	11/10/2014

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