Information Collection

Parental Notification And Recordkeeping Requirements Applicable To Projects For Family Planning Services Under Title X Of The Phs Act

IC 166012 under ICR 198305-0937-004 · OMB 0937-0111.

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Document Name	Document Type

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IC Title:

PARENTAL NOTIFICATION AND RECORDKEEPING REQUIREMENTS APPLICABLE TO PROJECTS FOR FAMILY PLANNING SERVICES UNDER TITLE X OF THE PHS ACT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	-418,899	418,900
Annual IC Time Burden (Hours)	1	-123,089	123,090
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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