4: Entrance and Exit Surveys - Program staff (entrance and exit on paper)

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

OMB: 0970-0566

IC ID: 246008

Documents and Forms
Document Name
Document Type
Other-HM Adult Entrance Survey
Other-HM Adult Entrance Survey
Other-HM Adult Exit Survey
Other-HM Adult Exit Survey
Other-HM Youth Entrance Survey
Other-HM Youth Entrance Survey
Other-HM Youth Exit Survey
Other-HM Youth Exit Survey
Other-RF Community Fathers Entrance
Other-RF Community Fathers Entrance
Other-RF Community Fathers Exit Surv
Other-RF Community Fathers Exit Surv
Other-RF Community Mothers Entrance
Other-RF Community Mothers Entrance
Other-RF Community Mothers Exit Surv
Other-RF Community Mothers Exit Surv
Other-RF Reentering Fathers Entrance
Other-RF Reentering Fathers Entrance
Other-RF Reentering Fathers Exit Sur
Other-RF Reentering Fathers Exit Sur
Information Collection (IC) Details

View Information Collection (IC)

4: Entrance and Exit Surveys - Program staff (entrance and exit on paper)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-HM Adult Entrance Survey Attachment_H_Instrument_4HM_1_Adult_EntranceSurvey.docx Yes Yes Fillable Fileable
Other-HM Adult Exit Survey Attachment_H_Instrument_4HM_2_Adult_ExitSurvey.docx Yes Yes Fillable Fileable
Other-HM Youth Entrance Survey Attachment_H_Instrument_4HM_3_Youth_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-HM Youth Exit Survey Attachment_H_Instrument_4HM_4_Youth_ExitSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Fathers Entrance Survey Attachment_H_Instrument_4RF_1_CommunityFathers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Fathers Exit Survey Attachment_H_Instrument_4RF_2_CommunityFathers_ExitSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Mothers Entrance Survey Attachment_H_Instrument_4RF_3_CommunityMothers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Mothers Exit Survey Attachment_H_Instrument_4RF_4_CommunityMothers_ExitSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Reentering Fathers Entrance Survey Attachment_H_Instrument_4RF_5_ReenteringFathers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Reentering Fathers Exit Survey Attachment_H_Instrument_4RF_6_ReenteringFathers_ExitSurvey_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

32 0
   
Individuals or Households
 
   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 37,397 0 0 0 0 37,397
Annual IC Time Burden (Hours) 3,740 0 0 0 0 3,740
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.
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