Instrument 1- Baseline Youth Survey

OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

OMB: 0970-0577

IC ID: 247978

Information Collection (IC) Details

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Instrument 1- Baseline Youth Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Follow up removed - Instrument 1 - Baseline Youth Survey_Clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

470 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 235 0 0 15 0 220
Annual IC Time Burden (Hours) 141 0 0 9 0 132
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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