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Federal forms, ICRs, and supporting documents

Information Collection

Background Information Form (Previously titled Young Adult Baseline Survey)

IC 189105 under ICR 202007-0970-013 · OMB 0970-0383.

Documents and Forms
Document Name
Document Type
Other-Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Background Information Form (Previously titled Young Adult Baseline Survey)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey C_Young Adult Background Information Form_071620_clean_for OMB.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

400 0
   
Individuals or Households
 
   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 400 0 200 0 0 200
Annual IC Time Burden (Hours) 112 0 -12 0 0 124
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo - NonSub Change - COVID-19 Memo_TLP YOS_NonSub Change Request_final_071620.docx 07/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.