OMB #: 0970-0477
Expiration date: 5/31/2026
Title (e.g., Dr., Ms., Mr.):
First Name:
Last Name:
Pronouns: [*optional field]
Organization/Institution:
Organization/Institution Title:
Email Address:
Phone Number:
Topic Areas of Expertise: [check all that apply]
Administrative Burden/Access to Services
Adult Basic Education
African American/Black Communities
Asian American/Pacific Islanders Communities
Behavioral Interventions/Behavioral Science
Career and Technical Education
Career Pathways Programs
Child Support and/or Non-custodial Parents
Contextual and Structural Factors
Cultural Responsiveness
Employment and Training
Equity (e.g., Racial Equity, Accessibility)
Family Engagement
Fatherhood Programs
Health Profession Opportunity Grants (HPOG)
Hispanic/Latino/a/Latinx Communities
Home Visiting Programs
People Experiencing Homelessness
Sexual Orientation and Gender Identity
Financial Literacy
Families with Low Income
Marriage Strengthening
Native American/American Indian/Indigenous American Communities
Non-residential Parents
Recently, Currently, or Formerly Incarcerated Parents and Individuals
Refugee Populations
Single Parents
SNAP and/or Food Insecurity
Staff-level Interventions and Training
Substance Use
Temporary Assistance for Needy Families (TANF)
Two-Generation Approaches
Unemployment/Underemployment
Youth Workforce Development
Youth Aging out of Foster Care
Workforce Development
Other [please explain]
Skill Areas of Expertise: [check all that apply]
Administrative Data
Equitable Approaches to Evaluation
Program Evaluation
Human-Centered Design
Implementation Research
Program Design
Policy Analysis and Research
Qualitative Methods
Quantitative Methods
Secondary Data Analysis
Training and Technical Assistance
Other [please explain]
Availability: [check one]
I am interested in participating as a reviewer in Summer 2024.
I do not have availability in 2024 but please keep me in mind for future opportunities.
Please remove me from the list. I do not wish to be contacted in the future.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to gather information about individuals interested in serving as grant reviewers for the Office of Planning, Research, and Evaluation’s Division of Economic Independence (DEI) to facilitate the process of obtaining qualified personnel to review DEI grant applications. Public reporting burden for this collection of information is estimated to average 5 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0477 and the expiration date is 5/31/2026. If you have any comments on this collection of information, please contact Elizabeth Karberg, Elizabeth.Karberg@acf.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Peterson, Bryana |
File Modified | 0000-00-00 |
File Created | 2025-05-19 |