Information Collection

Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms

IC 244468 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⚠️ Notice: This information collection may be referencing outdated material.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
360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2.docx	Other-360 Feedback Form: Peer Monito
360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2.docx	Other-360 Feedback Form: Peer Monito
360 Feedback Form AS COMPLETED BY GRANTEE ON REVIEW TEAM 11-9-2020 V2.docx	Other-360 Feedback Form: Grantee
360 Feedback Form AS COMPLETED BY GRANTEE ON REVIEW TEAM 11-9-2020 V2.docx	Other-360 Feedback Form: Grantee
Fast Track Generic Submission From 360 Feedback 11-9-2020 V2.docx Fast Track Generic Form_RHY 360 Feedback Forms	IC Document
Fast Track Generic Submission From 360 Feedback 11-9-2020 V2.docx Fast Track Generic Form_RHY 360 Feedback Forms	IC Document

IC Title:

Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms

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-360 Feedback Form: Peer Monitor			360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2.docx		Yes	Yes	Fillable Fileable
Other-360 Feedback Form: Grantee			360 Feedback Form AS COMPLETED BY GRANTEE ON REVIEW TEAM 11-9-2020 V2.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: 171

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	171	171
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Generic Form_RHY 360 Feedback Forms	Fast Track Generic Submission From 360 Feedback 11-9-2020 V2.docx	11/12/2020

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