Information Collection

Personal Responsibility Education Program (PREP) Local Evaluation Support: PREP LES Annual Satisfaction Survey

IC 257896 under ICR 202305-0970-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Annual LES Satisfaction Survey_For OMB SubmissionPRA.docx	Other-Survey
Annual LES Satisfaction Survey_For OMB SubmissionPRA.docx	Other-Survey
Fast Track Generic - Submission Template_PREP LES Annual Satisfaction Survey_PRA.docx Submission Template for PREP LES	IC Document
Fast Track Generic - Submission Template_PREP LES Annual Satisfaction Survey_PRA.docx Submission Template for PREP LES	IC Document

IC Title:

Personal Responsibility Education Program (PREP) Local Evaluation Support: PREP LES Annual Satisfaction Survey

Agency IC Tracking Number:

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-Survey			Annual LES Satisfaction Survey_For OMB SubmissionPRA.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: 65

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission Template for PREP LES	Fast Track Generic - Submission Template_PREP LES Annual Satisfaction Survey_PRA.docx	01/12/2023

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