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Runaway and Homeless Youth Disaster Information Collection Form
Generic Disaster Information Collection Form
OMB: 0970-0476
IC ID: 253541
OMB.report
HHS/ACF
OMB 0970-0476
ICR 202207-0970-008
IC 253541
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:
2022-10-05 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Runaway and Homeless Youth Disaster Information Collection Form
Form
1 Runaway and Homeless Youth (RHY) Disaster Information Co
RHY Disaster Info Collection Instrument_clean_02222022.docx
Form
RHY Disaster Info Collection Submission Form.docx
GenIC - Runaway and Homeless Youth Disaster Information Collection Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Runaway and Homeless Youth Disaster Information Collection Form
Agency IC Tracking Number:
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
Form
1
Runaway and Homeless Youth (RHY) Disaster Information Collection Plan
RHY Disaster Info Collection Instrument_clean_02222022.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:
10
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
10
0
0
0
0
10
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC - Runaway and Homeless Youth Disaster Information Collection Form
RHY Disaster Info Collection Submission Form.docx
05/16/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.