Information Collection

Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form

IC 244083 under ICR 202105-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Daily Feedback Form_10.01.2020.docx	Other-Daily Feedback Form
Final Evaluation Form_10.01.2020.docx	Other-Final Evaluation 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
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
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: Unchanged

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
	Requested	Previously Approved
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.