Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Rhode Island 36-Month Follow Up Data Collection--Older Child Component

Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Rhode Island 36-Month Follow-Up Data Collection

Documents and Forms

Document Name Document Type
OMB HtE RI 36M_App A.2_Youth Survey REV.doc Other-Older Child Survey
OMB HtE RI 36M_App A.4_Youth Assent Form.doc Youth Assent Form IC Document

Information Collection (IC) Details

IC Title:	Enhanced Services for the Hard-to-Employ Demonstration and Evaluation: Rhode Island 36-Month Follow Up Data Collection--Older Child Component	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Older Child Survey			OMB HtE RI 36M_App A.2_Youth Survey REV.doc		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: 298	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	298	298
Annual IC Time Burden (Hours)	224	224
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Youth Assent Form	OMB HtE RI 36M_App A.4_Youth Assent Form.doc	11/16/2007

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