YTD--Baseline Questionnaire

Youth Transition Process Demonstration Evaluation Collection

Documents and Forms

Document Name Document Type
Baseline Questionnaire.pdf Other-Survey
Baseline Pre-Notification Letter.pdf Other-Notification Letter

Information Collection (IC) Details

IC Title:	YTD--Baseline Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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-Survey			Baseline Questionnaire.pdf		Yes	Yes	Fillable Fileable
Other-Notification Letter			Baseline Pre-Notification Letter.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,895	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,895	1,895
Annual IC Time Burden (Hours)	-1,042	1,042
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.