Performance Measures Data Report Form (Instrument 3)

Collection of Performance Measures - Personal Responsibility Education Program (PREP)

OMB: 0970-0497

IC ID: 223554

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Performance Measures Data Report Form (Instrument 3)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Entry Form Instrument 3_PREP Performance Reporting System Data Entry Form_clean_rev.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

93 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 186 0 0 0 0 186
Annual IC Time Burden (Hours) 3,076 0 0 0 0 3,076
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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