STATE GRANT PROGRAM YOUTH CONSERVATION CORPS ENROLLEE STATISTICAL RESEARCH INFORMATION SHEET

ICR 197712-1084-002

OMB: 1084-0001

Federal Form Document

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Name
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ICR Details
1084-0001 197712-1084-002
Historical Active 197711-1084-002
DOI/OAPM
STATE GRANT PROGRAM YOUTH CONSERVATION CORPS ENROLLEE STATISTICAL RESEARCH INFORMATION SHEET
Revision of a currently approved collection   No
Regular
Approved without change 12/06/1977
Retrieve Notice of Action (NOA) 12/05/1977
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 03/31/1978
600 0 50
150 0 50
0 0 0

THIS FORM IS USED BY STATE GRANT YCC CAMP DIRECTORS TO REPORT THE NUMBER OF ENROLLEES BY SEX, AGE, TYPE OF CAMP, GRADE NO SCHOOL, FAMILY INCOME, POPULATION OF HOME TOWN, AND RACE OR ETHNIC BACKGROUND. IT ALSO RECORDS THE NUMBER OF ENROLLEES SEPARATED THE REASON FOR SEPARATION. INFORMATION IS USED TO GAUGE THE EFFECTIVENESS OF YCC IN REACHING ALL GROUPS.

None
None


No

1
IC Title Form No. Form Name
STATE GRANT PROGRAM YOUTH CONSERVATION CORPS ENROLLEE STATISTICAL RESEARCH INFORMATION SHEET

  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 600 50 0 0 550 0
Annual Time Burden (Hours) 150 50 0 0 100 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
12/05/1977


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