Information Collection

Prevention Services Evaluation Partnerships (PSEP) Reviewer Recruitment Form

IC 260500 under ICR 202506-0970-021 · OMB 0970-0477.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PSEP Reviewer Recruitment Form 2023-06-01v2.docx	Other-Survey
PSEP Reviewer Recruitment Form 2023-06-01v2.docx	Other-Survey
ACF Reviewer Recruitment Submission Form - 0970-0477_11.15.22 - PSEPv2.docx Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form	IC Document
ACF Reviewer Recruitment Submission Form - 0970-0477_11.15.22 - PSEPv2.docx Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form	IC Document

IC Title:

Prevention Services Evaluation Partnerships (PSEP) Reviewer Recruitment Form

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-Survey					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: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form		06/02/2023

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

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