Course Participant Knowledge Gain Assessment

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 229599

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form 1 Course Participant Knowledge Gain Assessment Form and Instruction
1 EBPAS-36 EBPAS-36_adapted.docx Form and Instruction
1 Instructor Experience Survey Final Instructor Experience Survey Final.docx Form and Instruction
1 Instructor Unit Survey Instructor Unit Survey Final.docx Form and Instruction
1 Instructor Unit Survey Final Instructor Unit Survey Final.docx Form and Instruction
1 Participant Experience Survey Final Participant Experience Survey Final.docx Form and Instruction
1 Unit Post Test Final Unit 1 Post Test Final.docx Form and Instruction
1 Unit 2 Post Test Final Unit 2 Post-Test Final.docx Form and Instruction
1 Unit 2Pre Test Final Unit 2 Pre-Test Final.docx Form and Instruction
1 Unit 3 Post-Test Final Unit 3 Post-Test Final.docx Form and Instruction
1 Unit 3 Pre Test Final Unit 3 Pre-Test Final.docx Form and Instruction
1 Unit 4 Post-Test Final Unit 4 Post-Test Final.docx Form and Instruction
1 Unit 4 Pre Test Final Unit 4 Pre-Test Final.docx Form and Instruction
1 Unit 5 Post Test Final Unit 5 Post-Test Final.docx Form and Instruction
1 Unit 5 Pre Test Final Unit 5 Pre-Test Final.docx Form and Instruction
1 Unit 6 Post-Test Final Unit 6 Post-Test Final.docx Form and Instruction
1 Unit 6 Pre Test Final Unit 6 Pre-Test Final.docx Form and Instruction
fast-track-PRA-submission-short-form_BETProject_120117.docx Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Course Participant Knowledge Gain Assessment	Agency IC Tracking Number:	ACYF

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	EBPAS-36	EBPAS-36_adapted.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Instructor Experience Survey Final	Instructor Experience Survey Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Instructor Unit Survey	Instructor Unit Survey Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Instructor Unit Survey Final	Instructor Unit Survey Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Participant Experience Survey Final	Participant Experience Survey Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit Post Test Final	Unit 1 Post Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 2 Post Test Final	Unit 2 Post-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 2Pre Test Final	Unit 2 Pre-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 3 Post-Test Final	Unit 3 Post-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 3 Pre Test Final	Unit 3 Pre-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 4 Post-Test Final	Unit 4 Post-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 4 Pre Test Final	Unit 4 Pre-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 5 Post Test Final	Unit 5 Post-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 5 Pre Test Final	Unit 5 Pre-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 6 Post-Test Final	Unit 6 Post-Test Final.docx	Yes	Yes	Fillable Printable
Form and Instruction	1	Unit 6 Pre Test Final	Unit 6 Pre-Test Final.docx	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 84	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	84	84
Annual IC Time Burden (Hours)	145	145
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	fast-track-PRA-submission-short-form_BETProject_120117.docx	12/27/2017

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