OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of the U.S Marine Corps' Prime for Life 4.5 Program

IC 275612 under ICR 202511-0704-005 · OMB 0704-0644.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
T5_OMB_PFL_A_Baseline and Follow-Up Survey Specs_20250522.docx Other-Survey
T5_OMB_PFL_A_Baseline and Follow-Up Survey Specs_20250522.docx Other-Survey
0704-0644_PFL_C_Participant Feedback Form Specs_4.28.25.docx Other-Survey
0704-0644_PFL_C_Participant Feedback Form Specs_4.28.25.docx Other-Survey
0704_0644_PFL_E_Instructor Fidelity Worksheet Specs_4.28.25.docx Other-Worksheet
0704_0644_PFL_E_Instructor Fidelity Worksheet Specs_4.28.25.docx Other-Worksheet
0704-0644_PFL_H_Instructor Interview Guide_04.28.25.docx Other-Interview Guide
0704-0644_PFL_H_Instructor Interview Guide_04.28.25.docx Other-Interview Guide
0704-0644_PFL_SSA_6.9.25.docx
Supporting Statement A		IC Document
0704-0644_PFL_SSA_6.9.25.docx
Supporting Statement A		IC Document
T5_OMB_PFL_SSB_04.28.25.docx
Supporting Statement B		IC Document
T5_OMB_PFL_SSB_04.28.25.docx
Supporting Statement B		IC Document
0704-0644_PFL_B_Baseline Recruitment Materials_4.28.docx
Baseline Recruitment Materials		IC Document
0704-0644_PFL_B_Baseline Recruitment Materials_4.28.docx
Baseline Recruitment Materials		IC Document
0704-0644_PFL_D_Participant Feedback Form Recruitment Materials_4.28.docx
Participant Feedback Form Recruitment Materials		IC Document
0704-0644_PFL_D_Participant Feedback Form Recruitment Materials_4.28.docx
Participant Feedback Form Recruitment Materials		IC Document
0704-0644_PFL_F_Instructor Fidelity Worksheet Recruitment Materials_4.28.docx
Instructor Fidelity Worksheet Recruitment Materials		IC Document
0704-0644_PFL_F_Instructor Fidelity Worksheet Recruitment Materials_4.28.docx
Instructor Fidelity Worksheet Recruitment Materials		IC Document
0704-0644_PFL_G_Follow-Up Survey Recruitment Materials_4.28.docx
Follow-Up Survey Recruitment Materials		IC Document
0704-0644_PFL_G_Follow-Up Survey Recruitment Materials_4.28.docx
Follow-Up Survey Recruitment Materials		IC Document
0704-0644_PFL_I_Instructor Interview Recruitment Materials_04.28.docx
Instructor Interview Recruitment Materials		IC Document
0704-0644_PFL_I_Instructor Interview Recruitment Materials_04.28.docx
Instructor Interview Recruitment Materials		IC Document

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-Survey Yes Yes Fillable Fileable
Other-Survey Yes Yes Fillable Fileable
Other-Worksheet Yes Yes Fillable Fileable
Other-Interview Guide Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,260 0 0 0 0 3,260
Annual IC Time Burden (Hours) 656 0 0 0 0 656
Annual IC Cost Burden (Dollars) 7,912 0 0 0 0 7,912

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Supporting Statement A 06/09/2025
Supporting Statement B 06/04/2025
Baseline Recruitment Materials 06/04/2025
Participant Feedback Form Recruitment Materials 06/04/2025
Instructor Fidelity Worksheet Recruitment Materials 06/04/2025
Follow-Up Survey Recruitment Materials 06/04/2025
Instructor Interview Recruitment Materials 06/04/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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