Information Collection

Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides

IC 270269 under ICR 202410-0970-003 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1 - SURVEY_YM Local Provider.docx	Other-Survey
2- QUEST_YM SRC Interview.docx	Other-Interview Protocol
3 - QUEST_YM Client Questionnaire.docx	Other-Questionnaire
4 - QUEST_YM Local Provider Guide.docx	Other-Guide
5 - QUEST_YM Mentor Questionnaire.docx	Other-Questionnaire
SSA_RSS Set Asides Assessment_Formative Prog Support_YM_8.20.2024_updated.docx SSA - Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides	IC Document
Letter_YM Client Invitation and Consent_ENGLISH.docx Consent - RSS YM Set-Aside Programs Assessment Guides	IC Document

IC Title:

Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides

Agency IC Tracking Number:

ORR-Ref

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-Survey	1 - SURVEY_YM Local Provider.docx	Yes	Yes	Fillable Fileable
Other-Interview Protocol	2- QUEST_YM SRC Interview.docx	Yes	Yes	Printable Only
Other-Questionnaire	3 - QUEST_YM Client Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Guide	4 - QUEST_YM Local Provider Guide.docx	Yes	Yes	Printable Only
Other-Questionnaire	5 - QUEST_YM Mentor Questionnaire.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: 215

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	215	215
Annual IC Time Burden (Hours)	132	132
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides	SSA_RSS Set Asides Assessment_Formative Prog Support_YM_8.20.2024_updated.docx	08/20/2024
Consent - RSS YM Set-Aside Programs Assessment Guides	Letter_YM Client Invitation and Consent_ENGLISH.docx	08/20/2024

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