Information Collection

Lejeune-New River School Age Care Child Youth Programs Survey

IC 266157 under ICR 202505-0704-008 · OMB 0704-0553.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0704-0553_Lejeune CYP Survey_03.01.2024.docx	Other-Paper Survey
0704-0553_Lejeune CYP Survey_03.01.2024.docx	Other-Paper Survey
0704-0553_Lejeune CYP Survey_One Pager_3.20.2024.docx One Pager Justification	IC Document
0704-0553_Lejeune CYP Survey_One Pager_3.20.2024.docx One Pager Justification	IC Document

IC Title:

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
Other-Paper Survey					No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

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)	8	8
Annual IC Cost Burden (Dollars)	167	167

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One Pager Justification		03/25/2024

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

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