Information Collection

YCC Abbreviated Supporting Statement for OMB 10-8-2014

IC 213630 under ICR 201308-1205-009 · OMB 1205-0436.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0436 can be found here:

Documents and Forms

Document Name Document Type
YCC Recruitment Visit Protocol for OMB.docx Other-YCC Recruitment Visit Protocol
YCC-Abbreviated Supporting Statement for OMB - 10 24 2014_Final.docx YCC Supplemental Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	YCC Abbreviated Supporting Statement for OMB 10-8-2014	Agency IC Tracking Number:

IC Status: New

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-YCC Recruitment Visit Protocol			YCC Recruitment Visit Protocol for OMB.docx		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	128	128
Annual IC Time Burden (Hours)	320	320
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
YCC Supplemental Supporting Statement	YCC-Abbreviated Supporting Statement for OMB - 10 24 2014_Final.docx	10/24/2014

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