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Third follow-up survey
OPRE Evaluation: Evaluation of Employment Coaching for TANF and Other Related Populations [Experimental impact study and an Implementation study]
OMB: 0970-0506
IC ID: 252961
OMB.report
HHS/ACF
OMB 0970-0506
ICR 202204-0970-008
IC 252961
( )
Documents and Forms
Document Name
Document Type
Attachment Q Third follow-up survey_public_v2_clean.docx
Other-Survey
Attachment Q Third follow-up survey_public_v2_clean.docx
Other-Survey
Attachment U QXQ for Third follow-up survey_PUBLIC_v2_clean.docx
Attachment U - QxQ for Third Follow Up
IC Document
Attachment U QXQ for Third follow-up survey_PUBLIC_v2_clean.docx
Attachment U - QxQ for Third Follow Up
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Third follow-up survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-Survey
Attachment Q Third follow-up survey_public_v2_clean.docx
Yes
Yes
Fillable Fileable
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:
4,239
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
1,413
0
1,413
0
0
0
Annual IC Time Burden (Hours)
1,060
0
1,060
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment U - QxQ for Third Follow Up
Attachment U QXQ for Third follow-up survey_PUBLIC_v2_clean.docx
04/19/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.