Navy Child and Youth Program Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OPNAV 1700/11 Navy Child and Youth Programs Fee Assistance Program	Form	New	Available
Form OPNAV 1700/2 Child and Youth Programs Fee Assistance Program	Form	New	Available
Form OPNAV 1700/2 Navy CYP Fee Assistance Forms	Form	New	Repair queued
Form OPNAV 1700/5 Navy Child and Youth Programs Family Child Care Provider Exit	Form	New	Available
Form OPNAV 1700/3 Child and Youth Programs Application for Family Child Care Certification	Form	New	Available
Form OPNAV 1700/3 Navy CYP Family Child Care Forms	Form	New	Repair queued
Form OPNAV 1700/19 Onsite Therapeutic Intervention	Form	New	Available
Form OPNAV 1700/8 Navy Child and Youth Programs Consent to Release	Form	New	Available
Form OPNAV 1700/18 Notification of Exclusion-Medical Clearance	Form	New	Available
Form OPNAV 1700/17 Program Accommodations	Form	New	Available
Form OPNAV 1700/14 Inclusion Support Plan	Form	New	Available
Form OPNAV 1700/9 Navy Child and Youth Programs Emergency Action Plan	Form	New	Available
Form OPNAV 1700/15 Medication Authorization	Form	New	Available
Form OPNAV 1700/7 Navy Child and Youth Programs Child Immunization Waiver Request	Form	New	Available
Form OPNAV 1700/7 Navy CYP Medical Forms	Form	New	Repair queued
Form OPNAV 1700/23 Field Trip and Special Event Permission Slip	Form	New	Repair queued
Form OPNAV 1700/13 Hourly Care Parent Fee Agreement	Form	New	Repair queued
Form OPNAV 1700/20 Parent Fee Agreement	Form	New	Repair queued
Form OPNAV 1700/22 Youth and Family Profile	Form	New	Repair queued
Form OPNAV 1700/1 Birth to Five Child and Family Profile	Form	New	Repair queued
Form OPNAV 1700/12 Health Information	Form	New	Repair queued
Form OPNAV 1700/21 Navy Child and Youth Programs Registration	Form	New	Repair queued
Form OPNAV 1700/21 Navy CYP Registration Forms	Form	New	Repair queued
DRAFT OPNAV 1700 6.pdf	Supplementary Document	Uploaded 2023-07-07	Repair queued
draft opnav 1700 4.pdf	Supplementary Document	Uploaded 2023-07-07	Repair queued
draft opnav 1700 16.pdf	Supplementary Document	Uploaded 2023-07-07	Repair queued
0703-NCYP_MCC PIA_9.14.2021.pdf	Supplementary Document	Uploaded 2023-06-15	Repair queued
0703-NCYP_DraftSORN_9.3.2021.docx	Supplementary Document	Uploaded 2023-06-15	Repair queued
0703-NCYP_SSA_7.26.2023.docx	Supporting Statement A	Uploaded 2023-08-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257047	Navy CYP Fee Assistance Forms	Form	New	Navy Child and Youth Programs Fee Assistance Program
257047	Navy CYP Fee Assistance Forms	Form	New	Child and Youth Programs Fee Assistance Program
257047	Navy CYP Fee Assistance Forms	Form	New
257045	Navy CYP Family Child Care Forms	Form	New	Navy Child and Youth Programs Family Child Care Provider Exit
257045	Navy CYP Family Child Care Forms	Form	New	Child and Youth Programs Application for Family Child Care Certification
257045	Navy CYP Family Child Care Forms	Form	New
257044	Navy CYP Medical Forms	Form	New	Onsite Therapeutic Intervention
257044	Navy CYP Medical Forms	Form	New	Navy Child and Youth Programs Consent to Release
257044	Navy CYP Medical Forms	Form	New	Notification of Exclusion-Medical Clearance
257044	Navy CYP Medical Forms	Form	New	Program Accommodations
257044	Navy CYP Medical Forms	Form	New	Inclusion Support Plan
257044	Navy CYP Medical Forms	Form	New	Navy Child and Youth Programs Emergency Action Plan
257044	Navy CYP Medical Forms	Form	New	Medication Authorization
257044	Navy CYP Medical Forms	Form	New	Navy Child and Youth Programs Child Immunization Waiver Request
257044	Navy CYP Medical Forms	Form	New
257043	Navy CYP Registration Forms	Form	New	Field Trip and Special Event Permission Slip
257043	Navy CYP Registration Forms	Form	New	Hourly Care Parent Fee Agreement
257043	Navy CYP Registration Forms	Form	New	Parent Fee Agreement
257043	Navy CYP Registration Forms	Form	New	Youth and Family Profile
257043	Navy CYP Registration Forms	Form	New	Birth to Five Child and Family Profile
257043	Navy CYP Registration Forms	Form	New	Health Information
257043	Navy CYP Registration Forms	Form	New	Navy Child and Youth Programs Registration
257043	Navy CYP Registration Forms	Form	New

ICR Details

OMB Control No: 0703-0087	ICR Reference No: 202208-0703-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOW/NAVY	Agency Tracking No: 0703-NCYP
Title: Navy Child and Youth Program Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/13/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/03/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved
Responses	121,188	0	0
Time Burden (Hours)	88,792	0	0
Cost Burden (Dollars)	2,534,088	0	0

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Abstract: Navy Child and Youth Programs (CYP) collects information in order to facilitate accurate and efficient operation of all programs and activities as part of fulfilling CYPs mission to provide services to eligible patrons. Military Family Programs and Military Child Care (10 U.S.C. Ch. 88, Subch. II) spells out the responsibilities of eligible patrons of CYP and CYP professionals.

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Authorizing Statute(s): US Code: 10 USC 88 Name of Law: Military Family Programs and Military Child Care
   US Code: 10 USC 5013 Name of Law: Secretary of the Navy
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 73543	11/30/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 48218	07/26/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Navy CYP Family Child Care Forms	OPNAV 1700/3, OPNAV 1700/5	Child and Youth Programs Application for Family Child Care Certification ,   Navy Child and Youth Programs Family Child Care Provider Exit
Navy CYP Fee Assistance Forms	OPNAV 1700/2, OPNAV 1700/11	Child and Youth Programs Fee Assistance Program ,   Navy Child and Youth Programs Fee Assistance Program
Navy CYP Medical Forms	OPNAV 1700/7, OPNAV 1700/15, OPNAV 1700/14, OPNAV 1700/17, OPNAV 1700/18, OPNAV 1700/8, OPNAV 1700/19, OPNAV 1700/9	Navy Child and Youth Programs Child Immunization Waiver Request ,   Medication Authorization ,   Navy Child and Youth Programs Emergency Action Plan ,   Inclusion Support Plan ,   Program Accommodations ,   Notification of Exclusion-Medical Clearance ,   Navy Child and Youth Programs Consent to Release ,   Onsite Therapeutic Intervention
Navy CYP Registration Forms	OPNAV 1700/21, OPNAV 1700/12, OPNAV 1700/1, OPNAV 1700/22 , OPNAV 1700/20, OPNAV 1700/23, OPNAV 1700/13	Navy Child and Youth Programs Registration ,   Health Information ,   Birth to Five Child and Family Profile ,   Youth and Family Profile ,   Parent Fee Agreement ,   Hourly Care Parent Fee Agreement ,   Field Trip and Special Event Permission Slip

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	121,188	0	0	121,188	0	0
Annual Time Burden (Hours)	88,792	0	0	88,792	0	0
Annual Cost Burden (Dollars)	2,534,088	0	0	2,534,088	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an existing collection currently in use without an OMB Control Number.

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Annual Cost to Federal Government: $2,579,255

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/03/2023

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