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360 Feedback Forms for the Runaway and Homeless Youth Monitoring Site Visits
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 272643
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202504-0970-024
IC 272643
( )
Documents and Forms
Document Name
Document Type
360 Feedback Form Version Completed by RHY Peer Monitors Final 11-22-2024.docx
Other-Peer Monitors Survey
360 Feedback Form Version completed by RHY Grant Recipients Final 11-22-2024.docx
Other-Grant Recipient Survey
OMB Clearance RHY 360 SMV Feedback 11-21-2024 Final_11.25.24.docx
FastTrack GenIC - 360 Feedback Forms for the Runaway and Homeless Youth Monitoring Site Visits
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
360 Feedback Forms for the Runaway and Homeless Youth Monitoring Site Visits
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-Peer Monitors Survey
360 Feedback Form Version Completed by RHY Peer Monitors Final 11-22-2024.docx
Yes
Yes
Fillable Fileable
Other-Grant Recipient Survey
360 Feedback Form Version completed by RHY Grant Recipients Final 11-22-2024.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:
182
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
237
0
0
0
0
237
Annual IC Time Burden (Hours)
40
0
0
0
0
40
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack GenIC - 360 Feedback Forms for the Runaway and Homeless Youth Monitoring Site Visits
OMB Clearance RHY 360 SMV Feedback 11-21-2024 Final_11.25.24.docx
11/25/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.