EVALUATION OF WORKSHOPS--OFFICE OF ADOLESCENT PREGNANCY PROGRAM

ICR 197912-0937-002

OMB: 0937-0035

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0937-0035 197912-0937-002
Historical Active
HHS/OASH
EVALUATION OF WORKSHOPS--OFFICE OF ADOLESCENT PREGNANCY PROGRAM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/11/1980
Retrieve Notice of Action (NOA) 12/21/1979
  Inventory as of this Action Requested Previously Approved
01/31/1982 01/31/1982
500 0 0
125 0 0
0 0 0

THIS SURVEY INSTRUMENT IS TO COLLECT INFORMATION ABOUT PARTICIPANTS' VIEWS CONCERNING RESPECTIVE WORKSHOPS CONDUCTED BY OAPP IN PROVIDING TECHNICAL ASSISTANCE TO POTENTIAL GRANT APPLICANTS.

None
None


No

1
IC Title Form No. Form Name
EVALUATION OF WORKSHOPS--OFFICE OF ADOLESCENT PREGNANCY PROGRAM

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 0 0 0 500 0
Annual Time Burden (Hours) 125 0 0 0 125 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/21/1979


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