Information Collection

Youth Outcome Survey

IC 184086 under ICR 201210-0970-006 · OMB 0970-0340.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0340 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Youth Outcome Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1356.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,334	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,334	2,056	13,278
Annual IC Time Burden (Hours)	7,667	4,347	3,320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.