OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Personal Responsibility Education Program (PREP) Innovative Strategies (PREIS) Local Evaluation Support: Final Evaluation Report Template

ICR 202512-0970-005 · OMB unassigned · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 PREIS Final Evaluation Report Template Form and Instruction New Available
Form 1 PREIS Final Evaluation Report Template & Guidance Form and Instruction New Missing upstream
Supporting Statement A_PREP Final Report Template-Clean.12.15.2025_updcln.docx Supporting Statement A Uploaded 2026-01-28 Repair queued
Supporting Statement A_PREP Final Report Template-Clean.12.15.2025.docx Supporting Statement A Uploaded 2025-12-16 Repair queued
PREIS Final Report Template Email-Clean.docx Supplementary Document Uploaded 2025-12-15 Repair queued
PREIS Final Report Template Email-Clean.docx Supplementary Document Uploaded 2025-12-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
278473 PREIS Final Evaluation Report Template & Guidance Form and Instruction NewPREIS Final Evaluation Report Template
278473 PREIS Final Evaluation Report Template & Guidance Form and Instruction New
ICR Details
0970-0649 202512-0970-005
Active
HHS/ACF OPRE
Personal Responsibility Education Program (PREP) Innovative Strategies (PREIS) Local Evaluation Support: Final Evaluation Report Template
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/23/2026
Retrieve Notice of Action (NOA) 12/18/2025
  Inventory as of this Action Requested Previously Approved
02/28/2029 24 Months From Approved
6 0 0
240 0 0
0 0 0
The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval of the Personal Responsibility Education Program (PREP) Innovative Strategies (PREIS) Local Evaluation Support Final Evaluation Report Template for PREIS grant recipients. PREIS grant recipients are required to carry out local evaluations of their programs and submit a final evaluation report to ACF at the end of their grant. This request includes a template for grant recipients to use to document their evaluation’s analysis and findings. In addition, the information collected in the Final Evaluation Report Template will inform technical assistance provided to grant recipients as they develop the final evaluation reports for ACF to fulfill the grant requirement.
US Code: 42 USC 719 Name of Law: Section 513 of the Social Security Act
  
None
Not associated with rulemaking
  90 FR 42249 08/29/2025
90 FR 59125 12/18/2025
No
1
IC Title Form No. Form Name
PREIS Final Evaluation Report Template & Guidance 1 PREIS Final Evaluation Report Template
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6 0 0 6 0 0
Annual Time Burden (Hours) 240 0 0 240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$57,593
No
    No
    No
No
No
No
No
Molly Buck 202 205-4724 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/18/2025