Information Collection Request

Evaluation of the Family Advocacy Program’s Domestic Violence Awareness and Child Abuse Prevention Campaigns

ICR 202307-0704-002 · OMB 0704-0679 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
FAP Outreach Project PrePost IRB Modification Letter.pdf Supplementary Document Uploaded 2023-07-27 Available
FAP Outreach Project IRB PrePost Approval Letter.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
FAP Outreach Project IRB PrePost Application.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
FAP Outreach Project IRB Implementation Metrics Approval Letter.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
FAP Outreach Project IRB Implementation Metrics Application.pdf Supplementary Document Uploaded 2023-07-27 Missing upstream
FAP Outreach Project IRB Fap Staff Approval Letter.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
FAP Outreach Project IRB FAP Staff Application.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
14 FAP Outreach Project Checklist Site Visit Implementation 29Mar2023.docx Supplementary Document Uploaded 2023-07-27 Missing upstream
13 FAP Outreach Project Checklist Online and Social Media Implementation 29Mar2023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
12 FAP Outreach Project Gift Card Survey 26Jun32023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
11 Universal Flyer for FAP Outreach Project 5July2023.pdf Supplementary Document Uploaded 2023-07-27 Repair queued
10 FAP Outreach Project Participant Reminders 26June2023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
9 FAP Outreach Project Recruitment Email 5July2023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
8 FAP Outreach Project Consent Form Exempt 5July2023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
6 FAP Outreach Project Eligibility Questions 26June2023.docx Supplementary Document Uploaded 2023-07-27 Repair queued
1 FAP Outreach Effectiveness Project Demographics Survey 5July2023.docx Supplementary Document Uploaded 2023-07-27 Missing upstream
0704-XXXX_EFAC_Supporting Statement PartB FAP Outreach Project 21Apr2023.docx Supporting Statement B Uploaded 2023-07-27 Repair queued
0704-XXXX_EFAC_Supporting Statement Part A FAP Outreach Project.docx Supporting Statement A Uploaded 2023-09-28 Missing upstream

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
9,632 0
2,432 0
55,213 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,632 0 0 4,832 4,800 0
Annual Time Burden (Hours) 2,432 0 0 1,232 1,200 0
Annual Cost Burden (Dollars) 55,213 0 0 28,045 27,168 0


Reginfo record details
  No