Information Collection

Youth Engagement Strategies – Key Informant Interviews

IC 225800 under ICR 201403-0990-004 · OMB 0990-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Youth_Engagement_Key_Informant_Interview_Guide.docx	Other-INTERVIEW
Cover Sheet_Youth_Engagement_Key_Informant_Interviews.docx cover memo	IC Document
SSA_Youth_Engagement_Key_Informant_Interviews.docx SS-A	IC Document
SSB_Youth_Engagement_Key_Informant_Interviews.docx SS-B	IC Document

IC Title:

Youth Engagement Strategies â Key Informant Interviews

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-INTERVIEW			Attachment A_Youth_Engagement_Key_Informant_Interview_Guide.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
cover memo	Cover Sheet_Youth_Engagement_Key_Informant_Interviews.docx	02/24/2017
SS-A	SSA_Youth_Engagement_Key_Informant_Interviews.docx	02/24/2017
SS-B	SSB_Youth_Engagement_Key_Informant_Interviews.docx	02/24/2017

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