Information Collection

Youth Baseline

IC 181186 under ICR 200707-0970-005 · OMB 0970-0333.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0333 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MCP Evaluation Youth Baseline and Follow-up Surveys.pdf	Other-instrument

IC Title:

Youth Baseline

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-instrument			MCP Evaluation Youth Baseline and Follow-up Surveys.pdf		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 625

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	625	625
Annual IC Time Burden (Hours)	313	313
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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