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Federal forms, ICRs, and supporting documents

Information Collection

Youth in Crisis Form

IC 258939 under ICR 202602-0970-005 · OMB 0970-0610.

Documents and Forms
Document Name
Document Type
Other-Online Form
Information Collection (IC) Details

View Information Collection (IC)

Youth in Crisis Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Online Form Youth in Crisis Form_2021.2 - Updated - July 28_2025_Redacted.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

47,175 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 47,175 0 0 0 0 47,175
Annual IC Time Burden (Hours) 10,850 0 0 0 0 10,850
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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