Information Collection

Personal Responsibility Education Program (PREP) Local Evaluation Support

IC 254556 under ICR 202412-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instrument 1 - PREIS Evaluation Plan Template and Guidance_2-28-22_clean (003).docx	Other-Template
Instrument 2 - PREIS Implementation Plan Template.docx	Other-Template
Formative ACF Program Support_0970-0531_SSA GenIC_PREP TA_3.14.22.docx SSA - PREP PREIS Local Eval Support	IC Document
Appendix A - Synopsis of the PREIS Evaluation Plan Template and Guidance_2-28-22_clean.docx Appendix A - Synopsis of the PREIS Evaluation Plan Template and Guidance	IC Document
NOA_PREP PREIS GenIC Prog Supp_0970-0531_3.14.22.pdf NOA - PREP PREIS Local Eval Support GenIC	IC Document

IC Title:

Personal Responsibility Education Program (PREP) Local Evaluation Support

Agency IC Tracking Number:

OPRE

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-Template			Instrument 1 - PREIS Evaluation Plan Template and Guidance_2-28-22_clean (003).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: 12

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	24	24
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - PREP PREIS Local Eval Support	Formative ACF Program Support_0970-0531_SSA GenIC_PREP TA_3.14.22.docx	07/11/2022
Appendix A - Synopsis of the PREIS Evaluation Plan Template and Guidance	Appendix A - Synopsis of the PREIS Evaluation Plan Template and Guidance_2-28-22_clean.docx	07/11/2022
NOA - PREP PREIS Local Eval Support GenIC	NOA_PREP PREIS GenIC Prog Supp_0970-0531_3.14.22.pdf	07/11/2022

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