Youth Survey of Relationships, Education, and Behavior

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1. Youth Survey of Relationships Education and Behavior_clean.docx Other-Survey
Instrument 1. Youth Survey of Relationships Education and Behavior_clean.docx Other-Survey
Generic SSA Youth Survey to ACF 5_14_21.docx SSA - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior IC Document
Generic SSA Youth Survey to ACF 5_14_21.docx SSA - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior IC Document
Generic SSB Youth Survey to ACF 5_14_21.docx SSB - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior IC Document
Generic SSB Youth Survey to ACF 5_14_21.docx SSB - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior IC Document
Appendix A. Parent Consent Form.docx Appendix A. Parent Consent Form IC Document
Appendix A. Parent Consent Form.docx Appendix A. Parent Consent Form IC Document
Appendix B. Youth Assent Form.docx Appendix B. Youth Assent IC Document
Appendix B. Youth Assent Form.docx Appendix B. Youth Assent IC Document
Appendix C. Item by Item Source Crosswalk for Survey.docx Appendix C. Item by Item Source Crosswalk for Survey IC Document
Appendix C. Item by Item Source Crosswalk for Survey.docx Appendix C. Item by Item Source Crosswalk for Survey IC Document

Information Collection (IC) Details

IC Title:	Youth Survey of Relationships, Education, and Behavior	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Instrument 1. Youth Survey of Relationships Education and Behavior_clean.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: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior	Generic SSA Youth Survey to ACF 5_14_21.docx	05/19/2021
SSB - Formative Prog Supp GenIC - Youth Survey of Relationships, Education, and Behavior	Generic SSB Youth Survey to ACF 5_14_21.docx	05/19/2021
Appendix A. Parent Consent Form	Appendix A. Parent Consent Form.docx	05/19/2021
Appendix B. Youth Assent	Appendix B. Youth Assent Form.docx	05/19/2021
Appendix C. Item by Item Source Crosswalk for Survey	Appendix C. Item by Item Source Crosswalk for Survey.docx	05/19/2021

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