Information Collection

LGBTQ Youth Homelessness Prevention Initiative Planning Phase Review and Documentation

IC 213309 under ICR 201408-2506-001 · OMB 2506-0204.

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Information Collection (IC) Details

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IC Title:	LGBTQ Youth Homelessness Prevention Initiative Planning Phase Review and Documentation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 578

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 137	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 62 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	137	137
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

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