4: Entrance and Exit Surveys - Program clients (exit)

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

OMB: 0970-0566

IC ID: 246007

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

4: Entrance and Exit Surveys - Program clients (exit)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-HM Adult Exit Survey Attachment H_Instrument 4HM_2_Adult_ExitSurvey.docx Yes Yes Fillable Fileable
Other-HM Youth Exit Survey Attachment H_Instrument 4HM_4_Youth_ExitSurvey.docx Yes Yes Fillable Fileable
Other-RF Community Fathers Exit Survey Attachment H_Instrument 4RF_2_CommunityFathers_ExitSurvey.docx Yes Yes Fillable Fileable
Other-RF Community Mothers Exit Survey Attachment H_Instrument 4RF_4_CommunityMothers_ExitSurvey.docx Yes Yes Fillable Fileable
Other-RF Reentering Fathers Exit Survey Attachment H_Instrument 4RF_6_ReenteringFathers_ExitSurvey.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

169,965 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 56,088 0 56,088 0 0 0
Annual IC Time Burden (Hours) 23,795 0 23,795 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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