OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Prevention Workforce Evaluation

IC 268302 under ICR 202511-0704-005 · OMB 0704-0644.

Documents and Forms
Document Name
Document Type
Other-Tracker
Other-Tracker
Other-Survey
Other-Survey
Other-Protocol
Other-Protocol
Other-Study
Other-Study
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Prevention Workforce Evaluation
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Tracker 0704-0644_Integrated Primary Prevention Activity Tracker Instrument.docx Yes Yes Fillable Fileable
Other-Survey 0704-0644_IPP Personnel Survey Insrument.docx Yes Yes Fillable Fileable
Other-Protocol 0704-0644_Leader and Supervisor Interview Protocols Instrument.docx No   Paper Only
Other-Study 0704-0644_Case Study Protocols Instument.docx No   Paper Only

Defense and National Security Operational Defense

 

12,324 0
   
Individuals or Households
 
   90 %

  Requested 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 12,324 0 0 0 0 12,324
Annual IC Time Burden (Hours) 12,324 0 0 0 0 12,324
Annual IC Cost Burden (Dollars) 415,762 0 0 0 0 415,762

Title Document Date Uploaded
Supporting Statement Part A 0704-0644_SSA_PWE_6.24.2024.docx 07/01/2024
Supporting Statement Part B 0704-0644_SSB_PWE_5.30.2024.docx 06/05/2024
Cohort Study Email Invitation Cohort Study Email Invitation_6.10.2024.docx 06/10/2024
Leader and Supervisor Interview Invitation and Reminder Leader and Supervisor Interview Invitation and Reminder_6.10.2024.docx 06/10/2024
IPAcT Email invitation and Reminder IPAcT Email invitation and Reminder_6.10.2024.docx 06/10/2024
Data Safety Plan_Invitations_Consents_Protocols 0704-0644_Data safety plan_Invitations_consents_protocols.pdf 06/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].