Evaluation of "The Comprehensive Community-Wide Approach to Gang Prevention, Intervention, and Suppression Program": 3-Month Individual Youth Program Tracking Form
ICR 199701-1121-001
OMB: 1121-0206
Federal Form Document
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Evaluation of "The
Comprehensive Community-Wide Approach to Gang Prevention,
Intervention, and Suppression Program": 3-Month Individual Youth
Program Tracking Form
New
collection (Request for a new OMB Control Number)
The specific instrument documents the
nature of contacts and services delivered to program youth, as well
as the characteristics of the various types of workers at the five
sites over the 3-year period; e.g., police, probation, community
youth workers, and teachers.
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.