Information Collection

Youth Outcome Survey

IC 184086 under ICR 201811-0970-008 · OMB 0970-0340.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0340 can be found here:

Documents and Forms

Document Name Document Type
nytd_attachment 1_Technical Bulletin 1.pdf Instruction
NYTD Technical Bulletin 5-070212.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youth Outcome Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1356.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			nytd_attachment 1_Technical Bulletin 1.pdf		Yes	Yes	Fillable Printable
Instruction			NYTD Technical Bulletin 5-070212.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,333	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16,333	-4,334	20,667
Annual IC Time Burden (Hours)	8,167	-2,167	10,334
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.