Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

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Documents and Forms

Document Name Document Type
Appendix F_Standardized Instruments_for Outcome and Impact Data.docx Other-Data Elements
Appendix F_Standardized Instruments_for Outcome and Impact Data.docx Other-Data Elements

Information Collection (IC) Details

IC Title:	Outcomes and impacts data - Standardized instruments: Data entry for comparison study sites (Appendix F)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Data Elements			Appendix F_Standardized Instruments_for Outcome and Impact Data.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: 28	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,640	3,640
Annual IC Time Burden (Hours)	4,550	4,550
Annual IC Cost Burden (Dollars)	0	0

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