Information Collection

Evaluation of the Young Offenders Grants

IC 216071 under ICR 201504-1205-006 · OMB 1205-0524.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9167 and ETA-9 Evaluation of the Young Offenders Grants	Form and Instruction
ETA-9167 and ETA-9 Evaluation of Grants Serving Youth Offenders (Background EGYO Appendices_4-9-2015.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	ETA-9167 and ETA-9168	Evaluation of Grants Serving Youth Offenders (Background Information Form 9167) and Evaluation of Grants Serving Youth Offenders (Contact Information Form 9168)	EGYO Appendices_4-9-2015.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,040

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,040	5,040
Annual IC Time Burden (Hours)	2,166	2,166
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.