Information Collection

Family Economic Mobility (FEM) Training and Technical Assistance Feedback

IC 254586 under ICR 202410-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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
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
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: Unchanged

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	Previously Approved
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.