Entry Survey (Instruments 1 & 1a)

Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS) -Collection of Performance Measures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0497 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1_PREP High School Participant Entry Survey.docx Other-Survey
Instrument 1a_PREP Middle School Participant Entry Survey.docx Other-Survey

Information Collection (IC) Details

IC Title:	Entry Survey (Instruments 1 & 1a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Instrument 1_PREP High School Participant Entry Survey.docx		Yes	Yes	Fillable Fileable
Other-Survey			Instrument 1a_PREP Middle School Participant Entry Survey.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: 138,249	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	138,249	138,249
Annual IC Time Burden (Hours)	20,737	20,737
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.