Information Collection

Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments

IC 277195 under ICR 202606-0970-001 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

2026-06-25 - No material or nonsubstantive change to a currently approved collection
2026-06-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1 - State PREP and Competitive PREP Grantee Evaluation Activities Survey_10.3.24.docx	Other-Survey
Instrument 1 - State PREP and Competitive PREP Grantee Evaluation Activities Survey_10.3.24.docx	Other-Survey
Instrument 2 - PREIS Analysis Plan Template 1.31.25 -clean.docx	Other-Template
Instrument 2 - PREIS Analysis Plan Template 1.31.25 -clean.docx	Other-Template
Instrument 3 - Sample Enrollment Progress Tool - Individual Assignment.xlsx	Other-Progress Tool
Instrument 3 - Sample Enrollment Progress Tool - Individual Assignment.xlsx	Other-Progress Tool
Instrument 4 - Sample Enrollment Progress Tool - Cluster Assignment.xlsx	Other-Progress Tool
Instrument 4 - Sample Enrollment Progress Tool - Cluster Assignment.xlsx	Other-Progress Tool
SPREP CPREP PREIS OMB - SSA 10.22.24 CLEAN.docx SSA - PREP Local Evaluation Support Instruments	IC Document
SPREP CPREP PREIS OMB - SSA 10.22.24 CLEAN.docx SSA - PREP Local Evaluation Support Instruments	IC Document
SPREP CPREP PREIS OMB - SSB 10.22.24 CLEAN.docx SSB - PREP Local Evaluation Support Instruments	IC Document
SPREP CPREP PREIS OMB - SSB 10.22.24 CLEAN.docx SSB - PREP Local Evaluation Support Instruments	IC Document
Appendix A - Invitation email for State and CPREP grantees survey.docx Appendix A - Invitation email for State and CPREP grantees survey	IC Document
Appendix A - Invitation email for State and CPREP grantees survey.docx Appendix A - Invitation email for State and CPREP grantees survey	IC Document
Appendix B - Individual Assignment Tool Instructions - CLEAN.docx Appendix B - Individual Assignment Tool Instructions	IC Document
Appendix B - Individual Assignment Tool Instructions - CLEAN.docx Appendix B - Individual Assignment Tool Instructions	IC Document
Appendix C - Cluster Assignment Tool Instructions -CLEAN.docx Appendix C - Cluster Assignment Tool Instructions	IC Document
Appendix C - Cluster Assignment Tool Instructions -CLEAN.docx Appendix C - Cluster Assignment Tool Instructions	IC Document
Appendix D - PREIS Analysis Plan Template email - CLEAN.docx Appendix D - PREIS Analysis Plan Template email	IC Document
Appendix D - PREIS Analysis Plan Template email - CLEAN.docx Appendix D - PREIS Analysis Plan Template email	IC Document
Appendix E - Sample Enrollment Progress Tool email - CLEAN.docx Appendix E - Sample Enrollment Progress Tool email	IC Document
Appendix E - Sample Enrollment Progress Tool email - CLEAN.docx Appendix E - Sample Enrollment Progress Tool email	IC Document
NOA_OPRE - PLESD_Prog Supp GenIC_0970-0531_10.23.24.pdf NOA - PREP Local Evaluation Support Instruments	IC Document
NOA_OPRE - PLESD_Prog Supp GenIC_0970-0531_10.23.24.pdf NOA - PREP Local Evaluation Support Instruments	IC Document
NonSub Change_Update to ACF ICs_Protecting Women EO_0970-0531_July 2025.docx NonSub Changes - EO Updates	IC Document
NonSub Change_Update to ACF ICs_Protecting Women EO_0970-0531_July 2025.docx NonSub Changes - EO Updates	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Yes	Yes	Fillable Fileable
Other-Template	Yes	Yes	Fillable Fileable
Other-Progress Tool	Yes	Yes	Fillable Fileable
Other-Progress Tool	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 218

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	262	262
Annual IC Time Burden (Hours)	184	184
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - PREP Local Evaluation Support Instruments		08/22/2025
SSB - PREP Local Evaluation Support Instruments		08/22/2025
Appendix A - Invitation email for State and CPREP grantees survey		08/22/2025
Appendix B - Individual Assignment Tool Instructions		08/22/2025
Appendix C - Cluster Assignment Tool Instructions		08/22/2025
Appendix D - PREIS Analysis Plan Template email		08/22/2025
Appendix E - Sample Enrollment Progress Tool email		08/22/2025
NOA - PREP Local Evaluation Support Instruments		08/22/2025
NonSub Changes - EO Updates		08/22/2025

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].