Contact Information Update Request

OPRE Study: Supporting Youth to be Successful in Life (SYSIL) Study [Implementation and Impact Studies]

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0574 can be found here:

Documents and Forms

Document Name Document Type
Instrument 5_Contact Information Update Request_20221216.docx Other-Contact Form
Instrument 5_Contact Information Update Request_Clean_20230317.docx Other-Contact Information Request

Information Collection (IC) Details

IC Title:	Contact Information Update Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Contact Information Request			Instrument 5_Contact Information Update Request_Clean_20230317.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: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	466	466
Annual IC Time Burden (Hours)	37	37
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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