Information Collection

Runaway and Homeless Youth Program - Grantee Assessment

IC 245227 under ICR 202205-0970-015 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - RHY Grantee Assessment.docx	Other-Survey
Attachment A - RHY Grantee Assessment.docx	Other-Survey
SSA Formative Generic - FYSB RHY - Final.docx Supporting Statement A - Formative Generic - RHY Grantee Survey	IC Document
SSA Formative Generic - FYSB RHY - Final.docx Supporting Statement A - Formative Generic - RHY Grantee Survey	IC Document
SSB Formative Generic - FYSB RHY - Final.docx Supporting Statement B - Formative Generic - RHY Grantee Survey	IC Document
SSB Formative Generic - FYSB RHY - Final.docx Supporting Statement B - Formative Generic - RHY Grantee Survey	IC Document
Attachment B - Email to RHY Grantees.docx Attachment B - Emails	IC Document
Attachment B - Email to RHY Grantees.docx Attachment B - Emails	IC Document

IC Title:

Runaway and Homeless Youth Program - Grantee Assessment

Agency IC Tracking Number:

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			Attachment A - RHY Grantee Assessment.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: 24

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - Formative Generic - RHY Grantee Survey	SSA Formative Generic - FYSB RHY - Final.docx	01/06/2021
Supporting Statement B - Formative Generic - RHY Grantee Survey	SSB Formative Generic - FYSB RHY - Final.docx	01/06/2021
Attachment B - Emails	Attachment B - Email to RHY Grantees.docx	01/06/2021

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