CLIENT INFORMATION FORM; YOUTH SERVED ON A ONE-TIME BASIS BY THE RYA-FUNDED PROJECTS FORM

ICR 197910-0980-002

OMB: 0980-0030

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0980-0030 197910-0980-002
Historical Active 197810-0980-001
HHS/HDSO
CLIENT INFORMATION FORM; YOUTH SERVED ON A ONE-TIME BASIS BY THE RYA-FUNDED PROJECTS FORM
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/14/1979
Retrieve Notice of Action (NOA) 10/09/1979
  Inventory as of this Action Requested Previously Approved
05/31/1980 05/31/1980
34,980 0 0
8,745 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
CLIENT INFORMATION FORM; YOUTH SERVED ON A ONE-TIME BASIS BY THE RYA-FUNDED PROJECTS FORM

  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 34,980 0 0 0 34,980 0
Annual Time Burden (Hours) 8,745 0 0 0 8,745 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.
10/09/1979


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