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Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 262953
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202409-0970-014
IC 262953
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-11-12 - No material or nonsubstantive change to a currently approved collection
2024-10-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.docx
Other-Template
Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.docx
Other-Template
SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx
SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template
IC Document
SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx
SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template
Agency IC Tracking Number:
FYSB
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-Template
Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.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:
11
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:
100 %
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
11
0
0
0
0
11
Annual IC Time Burden (Hours)
88
0
0
0
0
88
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template
SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx
10/23/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.