Information Collection

Family Economic Mobility (FEM) Training and Technical Assistance Feedback

IC 254586 under ICR 202207-0970-002 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1 - Pre-FEM Academy Participation Feedback Form_6-01-2022.docx	Other-Feedback survey
1 - Pre-FEM Academy Participation Feedback Form_6-01-2022.docx	Other-Feedback survey
2 - Post-FEM Academy Participation Feedback Form _6-01-2022.docx	Other-Feedback survey
2 - Post-FEM Academy Participation Feedback Form _6-01-2022.docx	Other-Feedback survey
3 - Short-Term Outcome Interview Form_6-01-2022.docx	Other-Interview Questions
3 - Short-Term Outcome Interview Form_6-01-2022.docx	Other-Interview Questions
SSA FEM Academy Formative Data Collection_6-02-2022-final.docx SSA Prog Supp GenIC - FEM T/TA Feedback	IC Document
SSA FEM Academy Formative Data Collection_6-02-2022-final.docx SSA Prog Supp GenIC - FEM T/TA Feedback	IC Document
SSB FEM Academy Formative Data Collection _6-02-2022-final.docx SSB Prog Supp GenIC - FEM T/TA Feedback	IC Document
SSB FEM Academy Formative Data Collection _6-02-2022-final.docx SSB Prog Supp GenIC - FEM T/TA Feedback	IC Document
NOA_FEM TTA Feedbac_Form GenIC Prog Supp_0970-0531_6.8.22.pdf NOA Prog Supp GenIC - FEM T/TA Feedback	IC Document
NOA_FEM TTA Feedbac_Form GenIC Prog Supp_0970-0531_6.8.22.pdf NOA Prog Supp GenIC - FEM T/TA Feedback	IC Document

IC Title:

Family Economic Mobility (FEM) Training and Technical Assistance Feedback

Agency IC Tracking Number:

OHS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Feedback survey	1 - Pre-FEM Academy Participation Feedback Form_6-01-2022.docx	Yes	Yes	Fillable Fileable
Other-Feedback survey	2 - Post-FEM Academy Participation Feedback Form _6-01-2022.docx	Yes	Yes	Fillable Fileable
Other-Interview Questions	3 - Short-Term Outcome Interview Form_6-01-2022.docx	Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	59	59
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - FEM T/TA Feedback	SSA FEM Academy Formative Data Collection_6-02-2022-final.docx	07/11/2022
SSB Prog Supp GenIC - FEM T/TA Feedback	SSB FEM Academy Formative Data Collection _6-02-2022-final.docx	07/11/2022
NOA Prog Supp GenIC - FEM T/TA Feedback	NOA_FEM TTA Feedbac_Form GenIC Prog Supp_0970-0531_6.8.22.pdf	07/11/2022

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