Adolescent Family Life Prevention Demonstration Project End of Year Template

ICR 200602-0990-005

OMB: 0990-0300

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0990-0300 200602-0990-005
Historical Active
HHS/HHSDM
Adolescent Family Life Prevention Demonstration Project End of Year Template
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/30/2006
Retrieve Notice of Action (NOA) 02/22/2006
Approved consistent with changes submitted by HHS memo (included in docket).
  Inventory as of this Action Requested Previously Approved
05/31/2009 05/31/2009
60 0 0
65 0 0
0 0 0

The Adolescent Family Life Demonstration Projects provide services to promote abstinence to adolescents. The End of Year Template will provide an outline and forms to report annually on program and evaluation services and outcomes.

None
None


No

1
IC Title Form No. Form Name
Adolescent Family Life Prevention Demonstration Project End of Year Template

  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 60 0 0 60 0 0
Annual Time Burden (Hours) 65 0 0 65 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.
02/22/2006


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