SCHOOL-BASED INTERVENTION TO REDUCE BEHAVIORS THAT RESULT IN HIV/STD INFECTION (TX, CA), IMPLEMENTATION EVALUATION

ICR 199307-0920-011

OMB: 0920-0327

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0920-0327 199307-0920-011
Historical Active
HHS/CDC
SCHOOL-BASED INTERVENTION TO REDUCE BEHAVIORS THAT RESULT IN HIV/STD INFECTION (TX, CA), IMPLEMENTATION EVALUATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/05/1993
Retrieve Notice of Action (NOA) 07/23/1993
  Inventory as of this Action Requested Previously Approved
09/30/1996 09/30/1996
15,000 0 0
2,191 0 0
0 0 0

THE PURPOSE OF THIS DATA COLLECTION IS TO EVALUATE THE IMPLEMENTATION PROCESS OF A SCHOOL-BASED HIV/STD PREVENTION PROGRAM. SELECTED SCHOOL IN TEXAS AND CALIFORNIA RECEIVING A MULTIPLE COMPONENT INTERVENTION WI BE COMPARED TO SCHOOLS RECEIVING A KNOWLEDGE-BASED CURRICULUM.

None
None


No

1
IC Title Form No. Form Name
SCHOOL-BASED INTERVENTION TO REDUCE BEHAVIORS THAT RESULT IN HIV/STD INFECTION (TX, CA), IMPLEMENTATION EVALUATION

  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 15,000 0 0 15,000 0 0
Annual Time Burden (Hours) 2,191 0 0 2,191 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/23/1993


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