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RHY-HMIS: Basic Center Program (Intake)
Runaway and Homeless Youth Homeless Management Information System (RHY-HMIS)
OMB: 0970-0573
IC ID: 245721
OMB.report
HHS/ACF
OMB 0970-0573
ICR 202403-0970-016
IC 245721
( )
Documents and Forms
Document Name
Document Type
Form 1
RHY-HMIS: Basic Center Program (Intake)
Form
HMIS-Data-Standards-Manual-2024.pdf
Instruction
HMIS-Data-Standards-Manual-2024.pdf
Instruction
1 RHY-HMIS Data Elements
RHY Program Specific Data Elements OMB V2.pdf
Form
1 RHY-HMIS Data Elements
RHY Program Specific Data Elements OMB V2.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
RHY-HMIS: Basic Center Program (Intake)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
RHY-HMIS Data Elements
RHY Program Specific Data Elements OMB V2.pdf
Yes
Yes
Fillable Fileable
Instruction
HMIS-Data-Standards-Manual-2024.pdf
Yes
Yes
Paper Only
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:
123,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
40,590
0
0
0
0
40,590
Annual IC Time Burden (Hours)
15,580
0
0
0
0
15,580
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.