Survey

YouthBuild Impact Evaluation: Youth Follow-Up Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0503 can be found here:

Documents and Forms

Document Name Document Type
Appendix A1_Informed Consent Form_12-Month-Survey_Final.pdf Other-informed consent
AppendixA_Follow_Up_Survey_CATI_12-05-12.docx Other-survey
AppendixA2_Follow_Up_Survey_WEB_12-05-12.docx Other-survey
Appendix E_FAQs_Follow-up_Survey_Final.pdf Frequently Asked Questions IC Document
Appendix B_Advance Letter_T and C_Follow-up_Survey_Final.pdf Advance Letter IC Document
Appendix B1_Advance Email_T_and_C_Follow-up_Survey_Final.pdf Advance Letter Email Version IC Document
Appendix C_Interim_Letter_Follow-up_Survey_Final.pdf Participant Interim Letter IC Document

Information Collection (IC) Details

IC Title:	Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-informed consent	Appendix A1_Informed Consent Form_12-Month-Survey_Final.pdf	Yes	Yes	Paper Only
Other-survey	AppendixA_Follow_Up_Survey_CATI_12-05-12.docx	Yes	Yes	Fillable Printable
Other-survey	AppendixA2_Follow_Up_Survey_WEB_12-05-12.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,772	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,772	2,772
Annual IC Time Burden (Hours)	1,848	1,848
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Frequently Asked Questions	Appendix E_FAQs_Follow-up_Survey_Final.pdf	09/13/2012
Advance Letter	Appendix B_Advance Letter_T and C_Follow-up_Survey_Final.pdf	09/13/2012
Advance Letter Email Version	Appendix B1_Advance Email_T_and_C_Follow-up_Survey_Final.pdf	09/13/2012
Participant Interim Letter	Appendix C_Interim_Letter_Follow-up_Survey_Final.pdf	09/13/2012

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