Information Collection

Opportunity Youth Evaluation Bundling Study

IC 216342 under ICR 201601-3045-001 · OMB 3045-0174.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Opportunity Youth Evaluation Bundling Instrument Opportunity Youth Evaluation Bundling Study	Form and Instruction
Form 1 Youth Bundling Survey tracked changes January 2016 Opportunity Youth Evaluation Bundling Study	Form and Instruction
1 Opportunity Youth Evaluation Bundling Instrument Revised instrument_demogs revised070615.docx	Form and Instruction
1 Youth Bundling Survey tracked changes January 2016 3045-0174 Bundling Survey Proposed Revisions with track changes.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	1			www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1			www.nationalservice.gov	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: 640

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,920	1,920
Annual IC Time Burden (Hours)	480	480
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.

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