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YTD--Informed Consent
Youth Transition Process Demonstration Evaluation Collection
OMB: 0960-0687
IC ID: 180542
OMB.report
SSA
OMB 0960-0687
ICR 200706-0960-002
IC 180542
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0687 can be found here:
2012-06-18 - Extension without change of a currently approved collection
2009-05-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
YTD--Informed Consent
Form
Youth Transition Process Demonstration Baseline Consent
Baseline Consent Forms.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
YTD--Informed Consent
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form
N/A
Youth Transition Process Demonstration Baseline Consent Forms
Baseline Consent Forms.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
962
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
962
0
0
962
0
0
Annual IC Time Burden (Hours)
80
0
0
80
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.