OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Administration for Children and Families Youth Programs –Youth Participant Entry and Exit Survey Pretest

IC 275913 under ICR 202601-0970-012 · OMB 0970-0355.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 1_SRAE Participant Entry Survey high school and older_062425clean.docx Other-Survey to pretest
Instrument 1_SRAE Participant Entry Survey high school and older_062425clean.docx Other-Survey to pretest
Instrument 2_SRAE Participant Entry Survey middle school_062425clean.docx Other-Survey to pretest
Instrument 2_SRAE Participant Entry Survey middle school_062425clean.docx Other-Survey to pretest
Instrument 3_SRAE Participant Exit Survey_high school_clean062425.docx Other-Survey to pretest
Instrument 3_SRAE Participant Exit Survey_high school_clean062425.docx Other-Survey to pretest
Instrument 4_SRAE Participant Exit Survey_middle school_clean062425.docx Other-Survey to pretest
Instrument 4_SRAE Participant Exit Survey_middle school_clean062425.docx Other-Survey to pretest
Instrument 5_PREP High School Participant Entry Survey_clean_062525.docx Other-Survey to pretest
Instrument 5_PREP High School Participant Entry Survey_clean_062525.docx Other-Survey to pretest
Instrument 6_PREP Middle School Participant Entry Survey_062425.docx Other-Survey to pretest
Instrument 6_PREP Middle School Participant Entry Survey_062425.docx Other-Survey to pretest
Instrument 7_PREP High School Participant Exit Survey_clean062525.docx Other-Survey to pretest
Instrument 7_PREP High School Participant Exit Survey_clean062525.docx Other-Survey to pretest
Instrument 8_PREP Middle School Participant Exit Survey_clean062425.docx Other-Survey to pretest
Instrument 8_PREP Middle School Participant Exit Survey_clean062425.docx Other-Survey to pretest
Instrument 9. Pretest Focus Group Protocol_clean_mj_cb 061625_clean.docx Other-Focus Group Protocol
Instrument 9. Pretest Focus Group Protocol_clean_mj_cb 061625_clean.docx Other-Focus Group Protocol
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS_PMs_071425_CLEAN.docx
SSA Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest		IC Document
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS_PMs_071425_CLEAN.docx
SSA Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest		IC Document
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS_PMs_updated 071425_CLEAN.docx
SSB Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest		IC Document
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS_PMs_updated 071425_CLEAN.docx
SSB Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest		IC Document
Appendix A_Consent and Assent Forms_071525_clean.docx
Appendix A - Consent and Assent Forms		IC Document
Appendix A_Consent and Assent Forms_071525_clean.docx
Appendix A - Consent and Assent Forms		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 to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Survey to pretest No   Paper Only
Other-Focus Group Protocol No   Printable Only

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 72 0 0 0 0 72
Annual IC Time Burden (Hours) 91 0 0 0 0 91
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest 07/17/2025
SSB Pretesting GenIC - Youth Programs –ACF Youth Participant Entry and Exit Survey Pretest 07/17/2025
Appendix A - Consent and Assent Forms 07/17/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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