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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
MCP Evaluation Youth Baseline and Follow-up Surveys.pdf Other-instrument

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.