Information Collection

Family Youth and Support Activities Application

IC 190418 under ICR 201711-3206-004 · OMB 3206-0131.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM Form 1647-E Family Youth and Support Activities Application	Form and Instruction
OPM Form 1647-E 2010 CFC FYSA Application 2010 FSYA Application.pdf www.opm.gov/cfc	Form and Instruction
1647-E CFC FSYA OPM Form 1647-E (CLEAN VERSION).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

1647- E

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 950.204(c)

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	OPM Form 1647-E	2010 CFC FYSA Application	2010 FSYA Application.pdf	www.opm.gov/cfc	Yes	No	Fillable Printable
Form and Instruction	1647-E	CFC FSYA	OPM Form 1647-E (CLEAN VERSION).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	4,000	4,000

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.