Information Collection

Communities Empowering Youth (CEY) Evaluation - Follow-up Survey

IC 182163 under ICR 200902-0970-003 · OMB 0970-0335.

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

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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	354	-456	810
Annual IC Time Burden (Hours)	165	-443	608
Annual IC Cost Burden (Dollars)	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.