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First follow-up survey
OPRE Evaluation: Evaluation of Employment Coaching for TANF and Other Related Populations [Experimental impact study and an Implementation study]
OMB: 0970-0506
IC ID: 227917
OMB.report
HHS/ACF
OMB 0970-0506
ICR 202008-0970-008
IC 227917
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0506 can be found here:
2022-04-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment C. First follow-up survey_rev.docx
Other-Survey
Attachment K QXQ for First follow-up survey_PUBLIC_v8_clean.docx
Attachment K - Question-by-Question Justification - First Follow Up Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
First follow-up survey
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
Attachment C. First follow-up survey_rev.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,515
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,515
0
0
0
0
1,515
Annual IC Time Burden (Hours)
1,136
0
0
0
0
1,136
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment K - Question-by-Question Justification - First Follow Up Survey
Attachment K QXQ for First follow-up survey_PUBLIC_v8_clean.docx
03/14/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.