Information Collection

Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template

IC 262953 under ICR 202508-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.docx	Other-Template
SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template	IC Document

IC Title:

Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template					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: 11

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	11	11
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template		10/23/2023

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

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