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
NonSub Change_Update to ACF ICs_Protecting Women EO_0970-0531_July 2025.docx NonSub Changes - EO Updates IC Document

Information Collection (IC) Details

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

Affected Public:

Percentage of Respondents Reporting Electronically:

		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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)

Documents for IC

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.