Information Collection

Communities Empowering Youth (CEY) Evaluation - Follow-up Survey

IC 182163 under ICR 200902-0970-003 · OMB 0970-0335.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Follow-up Survey.doc	Other-Communities Empowering Youth (

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

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-Communities Empowering Youth (CEY) Program Evaluation - Follow-up Survey			Follow-up Survey.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 354

Number of Respondents for Small Entity: 177

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	354	-456	810
Annual IC Time Burden (Hours)	165	-443	608
Annual IC Cost Burden (Dollars)	0	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.