Information Collection

Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form

IC 244083 under ICR 202007-0970-006 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Daily Feedback Form_10.01.2020.docx	Other-Daily Feedback Form
Final Evaluation Form_10.01.2020.docx	Other-Final Evaluation Form
Fast Track Generic - EBA Final Evaluations_10.01.2020.docx Fast Track Generic Form_EBA Daily Feedback and Final Evaluation Forms	IC Document
Final Evaluation Email_EBA_10.01.2020.docx Email Template: Final Evaluation Form	IC Document

IC Title:

Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form

Agency IC Tracking Number:

OPRE

IC Status: New

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-Daily Feedback Form			Daily Feedback Form_10.01.2020.docx		Yes	Yes	Fillable Fileable
Other-Final Evaluation Form			Final Evaluation Form_10.01.2020.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: 174

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	174	174
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Generic Form_EBA Daily Feedback and Final Evaluation Forms	Fast Track Generic - EBA Final Evaluations_10.01.2020.docx	10/14/2020
Email Template: Final Evaluation Form	Final Evaluation Email_EBA_10.01.2020.docx	10/14/2020

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