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Federal forms, ICRs, and supporting documents

Information Collection

Participant Entry Survey (Instrument 1, all versions)

IC 223549 under ICR 202502-0970-050 · OMB 0970-0497.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

Participant Entry Survey (Instrument 1, all versions)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 1_PREP HS Entry.docx Yes Yes Fillable Fileable
Other-Survey Instrument 1a_PREP MS Entry.docx Yes Yes Fillable Fileable
Other-Survey Instrument 1b_PREP PREIS Tribal HS Entry.docx Yes Yes Fillable Fileable
Other-Survey Instrument 1c PREP PREIS Tribal MS Entry.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

351,001 0
   
Individuals or Households
 
   100 %

  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 117,000 0 0 0 0 117,000
Annual IC Time Burden (Hours) 15,600 0 0 0 0 15,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.