Information Collection

Youth Serving Organization (YSO) Performance Measure Reporting Tool

IC 222369 under ICR 201912-0920-012 · OMB 0920-1156.

Documents and Forms

Document Name Document Type
Youth Serving Organization (YSO) Performance Measure Reporting Tool Form and Instruction
Youth Serving Organization Performance Measure Reporting Att 11 YSO Performance Measure Reporting Tool.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youth Serving Organization (YSO) Performance Measure Reporting Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Youth Serving Organization Performance Measure Reporting Tool	Att 11 YSO Performance Measure Reporting Tool.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	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: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-60	60
Annual IC Time Burden (Hours)	-60	60
Annual IC Cost Burden (Dollars)	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.