OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

4: Entrance and Exit Surveys - Program staff (entrance and exit on paper)

IC 246008 under ICR 202502-0970-045 · OMB 0970-0566.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment_H_Instrument_4HM_1_Adult_EntranceSurvey.docx Other-HM Adult Entrance Survey
Attachment_H_Instrument_4HM_1_Adult_EntranceSurvey.docx Other-HM Adult Entrance Survey
Attachment_H_Instrument_4HM_2_Adult_ExitSurvey.docx Other-HM Adult Exit Survey
Attachment_H_Instrument_4HM_2_Adult_ExitSurvey.docx Other-HM Adult Exit Survey
Attachment_H_Instrument_4HM_3_Youth_EntranceSurvey_clean.docx Other-HM Youth Entrance Survey
Attachment_H_Instrument_4HM_3_Youth_EntranceSurvey_clean.docx Other-HM Youth Entrance Survey
Attachment_H_Instrument_4HM_4_Youth_ExitSurvey_clean.docx Other-HM Youth Exit Survey
Attachment_H_Instrument_4HM_4_Youth_ExitSurvey_clean.docx Other-HM Youth Exit Survey
Attachment_H_Instrument_4RF_1_CommunityFathers_EntranceSurvey_clean.docx Other-RF Community Fathers Entrance
Attachment_H_Instrument_4RF_1_CommunityFathers_EntranceSurvey_clean.docx Other-RF Community Fathers Entrance
Attachment_H_Instrument_4RF_2_CommunityFathers_ExitSurvey_clean.docx Other-RF Community Fathers Exit Surv
Attachment_H_Instrument_4RF_2_CommunityFathers_ExitSurvey_clean.docx Other-RF Community Fathers Exit Surv
Attachment_H_Instrument_4RF_3_CommunityMothers_EntranceSurvey_clean.docx Other-RF Community Mothers Entrance
Attachment_H_Instrument_4RF_3_CommunityMothers_EntranceSurvey_clean.docx Other-RF Community Mothers Entrance
Attachment_H_Instrument_4RF_4_CommunityMothers_ExitSurvey_clean.docx Other-RF Community Mothers Exit Surv
Attachment_H_Instrument_4RF_4_CommunityMothers_ExitSurvey_clean.docx Other-RF Community Mothers Exit Surv
Attachment_H_Instrument_4RF_5_ReenteringFathers_EntranceSurvey_clean.docx Other-RF Reentering Fathers Entrance
Attachment_H_Instrument_4RF_5_ReenteringFathers_EntranceSurvey_clean.docx Other-RF Reentering Fathers Entrance
Attachment_H_Instrument_4RF_6_ReenteringFathers_ExitSurvey_clean.docx Other-RF Reentering Fathers Exit Sur
Attachment_H_Instrument_4RF_6_ReenteringFathers_ExitSurvey_clean.docx Other-RF Reentering Fathers Exit Sur

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-HM Adult Entrance Survey Yes Yes Fillable Fileable
Other-HM Adult Exit Survey Yes Yes Fillable Fileable
Other-HM Youth Entrance Survey Yes Yes Fillable Fileable
Other-HM Youth Exit Survey Yes Yes Fillable Fileable
Other-RF Community Fathers Entrance Survey Yes Yes Fillable Fileable
Other-RF Community Fathers Exit Survey Yes Yes Fillable Fileable
Other-RF Community Mothers Entrance Survey Yes Yes Fillable Fileable
Other-RF Community Mothers Exit Survey Yes Yes Fillable Fileable
Other-RF Reentering Fathers Entrance Survey Yes Yes Fillable Fileable
Other-RF Reentering Fathers Exit Survey Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25,740 0 0 0 0 25,740
Annual IC Time Burden (Hours) 2,574 0 0 0 0 2,574
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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