Information Collection

4: Exit Surveys - Participants

IC 246006 under ICR 202604-0970-010 · OMB 0970-0566.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
4.HM_Adult_ExitSurvey.docx	Other-HM Adult Exit Survey
4.HM_Youth_ExitSurvey.docx	Other-HM Youth Exit Survey
4.RF_CommunityFathers_ExitSurvey.docx	Other-RF Community Fathers Exit Surv
4.RF_ReenteringFathers_ExitSurvey.docx	Other-RF Reentering Fathers Exit Sur

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-HM Adult Exit Survey	Yes	Yes	Fillable Fileable
Other-HM Youth Exit Survey	Yes	Yes	Fillable Fileable
Other-RF Community Fathers Exit Survey	Yes	Yes	Fillable Fileable
Other-RF Reentering Fathers Exit Survey	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: OPRE Research and Evaluation Project Records

FR Citation: 87 FR 57198

Number of Respondents: 87,561

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,187	-17,507	46,694
Annual IC Time Burden (Hours)	8,172	-11,638	19,810
Annual IC Cost Burden (Dollars)	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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