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Second follow-up survey for youth (Instrument 12)
OPRE Evaluation: Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation [Impact and Process Studies]
OMB: 0970-0481
IC ID: 234956
OMB.report
HHS/ACF
OMB 0970-0481
ICR 202005-0970-006
IC 234956
( )
Documents and Forms
Document Name
Document Type
Instrument 12_STREAMS_Second follow-up survey for youth.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Second follow-up survey for youth (Instrument 12)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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-Survey
Instrument 12_STREAMS_Second follow-up survey for youth.docx
Yes
Yes
Fillable Fileable
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:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
500
0
0
0
0
500
Annual IC Time Burden (Hours)
250
0
0
0
0
250
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.