Information Collection

Family and Youth Services Bureau (FYSB) Grantee COVID Survey

IC 243722 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
COVID Survey.docx	Other-Survey
COVID Survey.docx	Other-Survey
Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx Fast Track Form - FYSB COVID Survey	IC Document
Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx Fast Track Form - FYSB COVID Survey	IC Document
EMAIL 1_Advance email (FYSB COVID Survey).docx Email 1: Advance email	IC Document
EMAIL 1_Advance email (FYSB COVID Survey).docx Email 1: Advance email	IC Document
EMAIL 2_Invitation email (FYSB COVID Survey).docx Email 2: Invitation email	IC Document
EMAIL 2_Invitation email (FYSB COVID Survey).docx Email 2: Invitation email	IC Document
EMAIL 3_Reminder email (FYSB COVID Survey).docx Email 3: Reminder email	IC Document
EMAIL 3_Reminder email (FYSB COVID Survey).docx Email 3: Reminder email	IC Document

IC Title:

Family and Youth Services Bureau (FYSB) Grantee COVID Survey

Agency IC Tracking Number:

FYSB

IC Status: Unchanged

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
Other-Survey			COVID Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 284

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	284	284
Annual IC Time Burden (Hours)	71	71
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Form - FYSB COVID Survey	Fast Track Generic - Submission Template_FYSB COVID survey 09.18.2020.docx	09/21/2020
Email 1: Advance email	EMAIL 1_Advance email (FYSB COVID Survey).docx	09/21/2020
Email 2: Invitation email	EMAIL 2_Invitation email (FYSB COVID Survey).docx	09/21/2020
Email 3: Reminder email	EMAIL 3_Reminder email (FYSB COVID Survey).docx	09/21/2020

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