Information Collection

Communities Empowering Youth (CEY) Evaluation

IC 182163 under ICR 200709-0970-005 · OMB 0970-0335.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0335 can be found here:

Documents and Forms

Document Name Document Type
CEYEvaluation Baseline Survey 9-05-07.doc Other-Instrument/Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Communities Empowering Youth (CEY) Evaluation	Agency IC Tracking Number:

Is this a Common Form? Yes		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/Survey			CEYEvaluation Baseline Survey 9-05-07.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 810	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	810	810
Annual IC Time Burden (Hours)	608	608
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.