Information Collection

Six-Month Follow-Up

IC 233985 under ICR 201811-2127-006 · OMB 2127-0740.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1458 Six-Month Follow-Up	Form and Instruction
1458 Six Month Follow Up Contact Form1458_RAPTevaluation-SixMonthFollowUpTeenContact-3.docx	Form and Instruction
1459 Six Month Follow Up Collection Form1459_RAPTevaluation-SixMonthFollowUpDataCollection-3.docx	Form and Instruction

IC Title:

Six-Month Follow-Up

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	1458	Six Month Follow Up Contact	Form1458_RAPTevaluation-SixMonthFollowUpTeenContact-3.docx		No		Paper Only
Form and Instruction	1459	Six Month Follow Up Collection	Form1459_RAPTevaluation-SixMonthFollowUpDataCollection-3.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

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	7,500	7,500
Annual IC Time Burden (Hours)	1,875	1,875
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.