Information Collection

Youth Program Pilot

IC 200243 under ICR 201301-1505-001 · OMB 1505-0242.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AFCOyouthpilot_consent package 01.15.12.docx	Other-Consent
AFCOyouthpilot_parentsurvey_01.15.12.docx	Other-Survey
AFCOyouthpilot_studentsurvey_01.15.11.docx	Other-Survey

IC Title:

Youth Program Pilot

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consent	AFCOyouthpilot_consent package 01.15.12.docx	Yes	No	Printable Only
Other-Survey	AFCOyouthpilot_parentsurvey_01.15.12.docx	Yes	No	Printable Only
Other-Survey	AFCOyouthpilot_studentsurvey_01.15.11.docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,417	1,417
Annual IC Cost Burden (Dollars)	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.