Information Collection

Youth Mental Health First Aid Training Assessment

IC 258644 under ICR 202403-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Youth Mental Health First Aid Opinions Quiz - Attachment A.docx	Other-Attachment A: Opinion Quiz
Youth Mental Health First Aid Opinions Quiz - Attachment A.docx	Other-Attachment A: Opinion Quiz
Youth Mental Health First Aid Quiz - Attachment B.docx	Other-Attachment B: Quiz
Youth Mental Health First Aid Quiz - Attachment B.docx	Other-Attachment B: Quiz
Youth Mental Health First Aid Satisfaction Survey - Attachment C.docx	Other-Attachment C: Survey
Youth Mental Health First Aid Satisfaction Survey - Attachment C.docx	Other-Attachment C: Survey
Youth Mental Health First Aid OMB Generic_ 2-27-2023.docx Fast Track Submission Template	IC Document
Youth Mental Health First Aid OMB Generic_ 2-27-2023.docx Fast Track Submission Template	IC Document
OMB Slide SRAE Topical Training.pptx PRA Language Slide	IC Document
OMB Slide SRAE Topical Training.pptx PRA Language Slide	IC Document

IC Title:

Youth Mental Health First Aid Training Assessment

Agency IC Tracking Number:

FYSB

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment A: Opinion Quiz	Youth Mental Health First Aid Opinions Quiz - Attachment A.docx	Yes	Yes	Fillable Printable
Other-Attachment B: Quiz	Youth Mental Health First Aid Quiz - Attachment B.docx	Yes	Yes	Fillable Printable
Other-Attachment C: Survey	Youth Mental Health First Aid Satisfaction Survey - Attachment C.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Template	Youth Mental Health First Aid OMB Generic_ 2-27-2023.docx	02/27/2023
PRA Language Slide	OMB Slide SRAE Topical Training.pptx	02/27/2023

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