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6-Month Follow-Up Participant Interview (Attachment J)
OPRE Evaluation - Building Evidence on Employment Strategies for Low-Income Families (BEES) [Impact, implementation, and descriptive studies]
OMB: 0970-0537
IC ID: 243384
OMB.report
HHS/ACF
OMB 0970-0537
ICR 202208-0970-004
IC 243384
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0537 can be found here:
2024-05-01 - No material or nonsubstantive change to a currently approved collection
2023-12-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
J_6-Month Follow-Up Participant Survey_Phase 2_CLEAN.docx
Other-Participant Survey
J_6-Month Follow-Up Participant Survey_Phase 2_CLEAN.docx
Other-Participant Survey
BEES_Survey_FranklinStark_6MInstru_20210804_Clean.docx
Other-Participant Survey - Franklin
BEES_Survey_FranklinStark_6MInstru_20210804_Clean.docx
Other-Participant Survey - Franklin
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
6-Month Follow-Up Participant Interview (Attachment J)
Agency IC Tracking Number:
Is this a Common Form?
No
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-Participant Survey
J_6-Month Follow-Up Participant Survey_Phase 2_CLEAN.docx
No
Paper Only
Other-Participant Survey - Franklin Stark
BEES_Survey_FranklinStark_6MInstru_20210804_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:
800
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
800
0
0
0
0
800
Annual IC Time Burden (Hours)
200
0
0
0
0
200
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.