Information Collection

Planning Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)

IC 223171 under ICR 201711-0970-008 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Template 1 Impact Evaluation Template.docx	Other-template
Template 2 Descriptive Evaluation Template.docx	Other-template
SSA_PYP Templates.Revised August 2016_clean.doc SSA_PYP Templates	IC Document
SSB_PYP Templates.Revised August 2016_clean.doc SSB_PYP Templates	IC Document
Attachment A_Persons Consulted.docx Attachment A_Persons Consulted	IC Document

IC Title:

Planning Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)

Agency IC Tracking Number:

IC Status: Unchanged

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
Other-template			Template 1 Impact Evaluation Template.docx		Yes	Yes	Fillable Fileable
Other-template			Template 2 Descriptive Evaluation Template.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: 29

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	87	87
Annual IC Time Burden (Hours)	435	435
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA_PYP Templates	SSA_PYP Templates.Revised August 2016_clean.doc	08/25/2016
SSB_PYP Templates	SSB_PYP Templates.Revised August 2016_clean.doc	08/25/2016
Attachment A_Persons Consulted	Attachment A_Persons Consulted.docx	08/25/2016

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