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Prevention Services Evaluation Partnerships (PSEP) Reviewer Recruitment Form
ACF’s Generic Clearance for Reviewer Recruitment Forms
OMB: 0970-0477
IC ID: 260500
OMB.report
HHS/ACF
OMB 0970-0477
ICR 202503-0970-002
IC 260500
( )
Documents and Forms
Document Name
Document Type
PSEP Reviewer Recruitment Form 2023-06-01v2.docx
Other-Survey
PSEP Reviewer Recruitment Form 2023-06-01v2.docx
Other-Survey
ACF Reviewer Recruitment Submission Form - 0970-0477_11.15.22 - PSEPv2.docx
Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form
IC Document
ACF Reviewer Recruitment Submission Form - 0970-0477_11.15.22 - PSEPv2.docx
Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Prevention Services Evaluation Partnerships (PSEP) Reviewer Recruitment Form
Agency IC Tracking Number:
OPRE
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-Survey
PSEP Reviewer Recruitment Form 2023-06-01v2.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:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
17
0
0
0
0
17
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Reviewer Recruitment Submission - PSEP Reviewer Recruitment Form
ACF Reviewer Recruitment Submission Form - 0970-0477_11.15.22 - PSEPv2.docx
06/02/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.