Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0527 can be found here:

Documents and Forms

Document Name Document Type
Appendix F_Standardized Instruments_for Outcome and Impact Data.docx Other-Data Elements

Information Collection (IC) Details

IC Title:	Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Data Elements			Appendix F_Standardized Instruments_for Outcome and Impact Data.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: 35	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	70	16	54
Annual IC Time Burden (Hours)	1,750	400	1,350
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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