Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
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 3 - Sample Enrollment Progress Tool - Individual 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 - 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 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 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
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

Information Collection (IC) Details

IC Title:	Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments	Agency IC Tracking Number:	OPRE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Instrument 1 - State PREP and Competitive PREP Grantee Evaluation Activities Survey_10.3.24.docx	Yes	Yes	Fillable Fileable
Other-Template	Instrument 2 - PREIS Analysis Plan Template 1.31.25 -clean.docx	Yes	Yes	Fillable Fileable
Other-Progress Tool	Instrument 3 - Sample Enrollment Progress Tool - Individual Assignment.xlsx	Yes	Yes	Fillable Fileable
Other-Progress Tool	Instrument 4 - Sample Enrollment Progress Tool - Cluster Assignment.xlsx	Yes	Yes	Printable Only

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 %

	Requested	Program Change Due to Agency Discretion
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

Title	Document	Date Uploaded
SSA - PREP Local Evaluation Support Instruments	SPREP CPREP PREIS OMB - SSA 10.22.24 CLEAN.docx	08/22/2025
SSB - PREP Local Evaluation Support Instruments	SPREP CPREP PREIS OMB - SSB 10.22.24 CLEAN.docx	08/22/2025
Appendix A - Invitation email for State and CPREP grantees survey	Appendix A - Invitation email for State and CPREP grantees survey.docx	08/22/2025
Appendix B - Individual Assignment Tool Instructions	Appendix B - Individual Assignment Tool Instructions - CLEAN.docx	08/22/2025
Appendix C - Cluster Assignment Tool Instructions	Appendix C - Cluster Assignment Tool Instructions -CLEAN.docx	08/22/2025
Appendix D - PREIS Analysis Plan Template email	Appendix D - PREIS Analysis Plan Template email - CLEAN.docx	08/22/2025
Appendix E - Sample Enrollment Progress Tool email	Appendix E - Sample Enrollment Progress Tool email - CLEAN.docx	08/22/2025
NOA - PREP Local Evaluation Support Instruments	NOA_OPRE - PLESD_Prog Supp GenIC_0970-0531_10.23.24.pdf	08/22/2025
NonSub Changes - EO Updates	NonSub Change_Update to ACF ICs_Protecting Women EO_0970-0531_July 2025.docx	08/22/2025

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