Permanency Innovations Initiative - LA RISE

Pre-testing of Evaluation Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

Documents and Forms

Document Name Document Type
Attachment A - PII_RISE Consent forms and Instrument.docx Other-Consents and Survey
Supporting Statement A RISE generic staff pre-posttest rev_7 25 12.docx Supporting Statement A RISE generic staff pre-posttest rev_7 25 12 IC Document
Supporting Statement B RISE generic staff pre-posttest rev_7 25 12.docx Supporting Statement B RISE generic staff pre-posttest rev_7 25 12 IC Document

Information Collection (IC) Details

IC Title:	Permanency Innovations Initiative - LA RISE	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consents and Survey			Attachment A - PII_RISE Consent forms and Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A RISE generic staff pre-posttest rev_7 25 12	Supporting Statement A RISE generic staff pre-posttest rev_7 25 12.docx	08/06/2012
Supporting Statement B RISE generic staff pre-posttest rev_7 25 12	Supporting Statement B RISE generic staff pre-posttest rev_7 25 12.docx	08/06/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.