Information Collection

Runaway and Homeless Youth Disaster Information Collection Form

IC 253541 under ICR 202503-0970-013 · OMB 0970-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Runaway and Homeless Youth Disaster Information Collection Form	Form
Form 1 Runaway and Homeless Youth (RHY) Disaster Information Collection Plan Runaway and Homeless Youth Disaster Information Collection Form	Form
1 Runaway and Homeless Youth (RHY) Disaster Information Co RHY Disaster Info Collection Instrument_clean_02222022.docx	Form
1 Runaway and Homeless Youth (RHY) Disaster Information Co RHY Disaster Info Collection Instrument_clean_02222022.docx	Form
RHY Disaster Info Collection Submission Form.docx GenIC - Runaway and Homeless Youth Disaster Information Collection Form	IC Document
RHY Disaster Info Collection Submission Form.docx GenIC - Runaway and Homeless Youth Disaster Information Collection Form	IC Document

IC Title:

Runaway and Homeless Youth Disaster Information Collection Form

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				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: 10

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC - Runaway and Homeless Youth Disaster Information Collection Form		05/16/2022

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].