Office on Women's Health Youth Engagement in Sports (YES) Initiative Online Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379 Attatchment A. YES Initiative QPR Template KN 12 5 19.docx Other-YES Initiative Survey Instrume
099-0379 YES Initiative Fast Track Short Form KN 12 5 19.doc FastTrack Memo- YES Initiative IC Document

Information Collection (IC) Details

IC Title:	Office on Women's Health Youth Engagement in Sports (YES) Initiative Online Survey	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-YES Initiative Survey Instrument			0990-0379 Attatchment A. YES Initiative QPR Template KN 12 5 19.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	144	144
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack Memo- YES Initiative	099-0379 YES Initiative Fast Track Short Form KN 12 5 19.doc	12/11/2019

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