Informed consent form and release form

Youth Transition Exploration Demonstration (YTED)

Documents and Forms

Document Name Document Type
Attachment A.1 Consent Form.docx Other-YTED Consent Form
Attachment A.1 Consent Form.docx Other-YTED Consent Form
Attachment A.2 Release Form.docx Other-YTED Release Form
Attachment A.2 Release Form.docx Other-YTED Release Form

Information Collection (IC) Details

IC Title:	Informed consent form and release form	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-YTED Consent Form			Attachment A.1 Consent Form.docx		No		Paper Only
Other-YTED Release Form			Attachment A.2 Release Form.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	117	117
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.