Information Collection

Youth Program - Amarillo

IC 205452 under ICR 201301-1505-001 · OMB 1505-0242.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ex1_AmarilloParentRecruitmentLetter.docx	Other-Letter
Ex1b_AmarilloParentRecruitmentLetterMail.docx	Other-Mailed Letter
Ex2_ParentconsentForm.docx	Other-Consent
Ex3_StudentAssentverbal.docx	Other-Verbal Assent
Ex4_AmarilloStudentSurvey.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Letter	Ex1_AmarilloParentRecruitmentLetter.docx	Yes	No	Printable Only
Other-Mailed Letter	Ex1b_AmarilloParentRecruitmentLetterMail.docx	Yes	No	Printable Only
Other-Consent	Ex2_ParentconsentForm.docx	Yes	No	Printable Only
Other-Verbal Assent	Ex3_StudentAssentverbal.docx	Yes	No	Printable Only
Other-Survey	Ex4_AmarilloStudentSurvey.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	2,621	2,621
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.