Follow-up survey for adults (Instrument 11)

OPRE Evaluation: Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation [Impact and Process Studies]

OMB: 0970-0481

IC ID: 220540

Documents and Forms
Document Name
Document Type
Other-Follow up Survey
Information Collection (IC) Details

View Information Collection (IC)

Follow-up survey for adults (Instrument 11)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow up Survey Instrument 11_STREAMS Adult FUP survey (3-2-17)_edited_6-21-17 _clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

767 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 767 0 -300 0 0 1,067
Annual IC Time Burden (Hours) 575 0 -225 0 0 800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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