Information Collection

Prevention Workforce Evaluation

IC 268302 under ICR 202211-0704-004 · OMB 0704-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0644 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0704-0644_Integrated Primary Prevention Activity Tracker Instrument.docx	Other-Tracker
0704-0644_IPP Personnel Survey Insrument.docx	Other-Survey
0704-0644_Leader and Supervisor Interview Protocols Instrument.docx	Other-Protocol
0704-0644_Case Study Protocols Instument.docx	Other-Study
0704-0644_SSA_PWE_6.24.2024.docx Supporting Statement Part A	IC Document
0704-0644_SSB_PWE_5.30.2024.docx Supporting Statement Part B	IC Document
Cohort Study Email Invitation_6.10.2024.docx Cohort Study Email Invitation	IC Document
Leader and Supervisor Interview Invitation and Reminder_6.10.2024.docx Leader and Supervisor Interview Invitation and Reminder	IC Document
IPAcT Email invitation and Reminder_6.10.2024.docx IPAcT Email invitation and Reminder	IC Document
0704-0644_Data safety plan_Invitations_consents_protocols.pdf Data Safety Plan_Invitations_Consents_Protocols	IC Document

IC Title:

Prevention Workforce Evaluation

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Tracker	Yes	Yes	Fillable Fileable
Other-Survey	Yes	Yes	Fillable Fileable
Other-Protocol	No		Paper Only
Other-Study	No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,324

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,324	12,324
Annual IC Time Burden (Hours)	12,324	12,324
Annual IC Cost Burden (Dollars)	415,762	415,762

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A		07/01/2024
Supporting Statement Part B		06/05/2024
Cohort Study Email Invitation		06/10/2024
Leader and Supervisor Interview Invitation and Reminder		06/10/2024
IPAcT Email invitation and Reminder		06/10/2024
Data Safety Plan_Invitations_Consents_Protocols		06/10/2024

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

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