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Communities Empowering Youth (CEY) Evaluation - Follow-up Survey
Communities Empowering Youth (CEY) Program Evaluation
OMB: 0970-0335
IC ID: 182163
OMB.report
HHS/ACF
OMB 0970-0335
ICR 200902-0970-003
IC 182163
( )
Documents and Forms
Document Name
Document Type
Follow-up Survey.doc
Other-Communities Empowering Youth (
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Communities Empowering Youth (CEY) Evaluation - Follow-up Survey
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
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-Communities Empowering Youth (CEY) Program Evaluation - Follow-up Survey
Follow-up Survey.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
354
Number of Respondents for Small Entity:
177
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
90 %
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
354
0
-456
0
0
810
Annual IC Time Burden (Hours)
165
0
-443
0
0
608
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.