Information Collection

Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews

IC 224098 under ICR 201610-0970-012 · OMB 0970-0462.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0462 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 4-A_HPOG 2.0 National Evaluation In Person Implementation Int_clean.docx	Other-Interview
Instrument 4-B_HPOG 2.0 National Evaluation In-Person Implementation Interviews Basic Skills Training_CLEAN.docx	Other-Interview
Instrument 4-C_HPOG 2.0 National Evaluation In-Person Implementation Interviews Career Pathways_CLEAN.docx	Other-Interview
Instrument 4-D_HPOG 2.0 National Evaluation In-Person Implementation Interviews Work-Readiness_CLEAN.docx	Other-Interview
Instrument 4-E_HPOG 2.0 National Evaluation In-Person Implementation Interviews Sustainability_ CLEAN.docx	Other-Interview

IC Title:

Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview	Instrument 4-A_HPOG 2.0 National Evaluation In Person Implementation Int_clean.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-B_HPOG 2.0 National Evaluation In-Person Implementation Interviews Basic Skills Training_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-C_HPOG 2.0 National Evaluation In-Person Implementation Interviews Career Pathways_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-D_HPOG 2.0 National Evaluation In-Person Implementation Interviews Work-Readiness_CLEAN.docx	Yes	Yes	Fillable Fileable
Other-Interview	Instrument 4-E_HPOG 2.0 National Evaluation In-Person Implementation Interviews Sustainability_ 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: 33

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	33	33
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.