Information Collection

Evaluation of "The Comprehensive Community-Wide Approach to Gang Prevention, Intervention, and Suppression Program": 3-Month Individual Youth Program Tracking Form

IC 12481 under ICR 199701-1121-001 · OMB 1121-0206.

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Information Collection (IC) Details

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IC Title:

Evaluation of "The Comprehensive Community-Wide Approach to Gang Prevention, Intervention, and Suppression Program": 3-Month Individual Youth Program Tracking Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	2,041	2,041
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.