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Young Adult 12 Month Follow-Up Survey
Transition Living Program Evaluation
OMB: 0970-0383
IC ID: 189110
OMB.report
HHS/ACF
OMB 0970-0383
ICR 202007-0970-013
IC 189110
( )
Documents and Forms
Document Name
Document Type
D. TLP_YouthFollowUpSurvey_forNSchange_withBCF_CLEAN_20180502.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Young Adult 12 Month Follow-Up Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
D. TLP_YouthFollowUpSurvey_forNSchange_withBCF_CLEAN_20180502.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:
200
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
0
0
-200
0
0
200
Annual IC Time Burden (Hours)
0
0
-122
0
0
122
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.