Performance Measures Data Report Form - Grantees (Instrument 3)

Personal Responsibility Education Program (PREP) Performance Measures and Adulthood Preparation Subjects (PMAPS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0497 can be found here:

Documents and Forms

Document Name Document Type
Instrument 3_PREP Performance Reporting System Data Entry Form_092721_clean.docx Other-Data Entry Form
Instrument 3_PREP Performance Reporting System Data Entry Form_092721_clean.docx Other-Data Entry Form

Information Collection (IC) Details

IC Title:	Performance Measures Data Report Form - Grantees (Instrument 3)	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-Data Entry Form			Instrument 3_PREP Performance Reporting System Data Entry Form_092721_clean.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: 101	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	202	18	184
Annual IC Time Burden (Hours)	3,300	165	3,135
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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