D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)

Indicators of the Performance of Local and State Education Agencies in HIV Prevention and Coordinated School Health Program Activities for Adolescent and School Health Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0672 can be found here:

Documents and Forms

Document Name Document Type
Form 4 D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007) Form and Instruction
3 D-1-Indicators for School Health Programs: HIV Preventio Attachment D-1 (HIV LEA - FY2007).pdf Form and Instruction
4 D-2-Indicators for School Health Programs: HIV Preventio Attachment D-2 (HIV LEA - FY2008-FY2010).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	4	D-2-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2008-2010)	Attachment D-2 (HIV LEA - FY2008-FY2010).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	3	D-1-Indicators for School Health Programs: HIV Prevention, Local Education Agencies (FY2007)	Attachment D-1 (HIV LEA - FY2007).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	119	119
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.