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Parent Assessment Battery
Preventing HIV Risk Behaviors Among Hispanic Adolescents
OMB: 0920-0871
IC ID: 194322
OMB.report
HHS/CDC
OMB 0920-0871
ICR 201008-0920-010
IC 194322
( )
Documents and Forms
Document Name
Document Type
att3b_Parent Assessment Battery_ENG.doc
Instruction
Att3d_Parental_Battery_SPA.pdf
Attachment 3d Parental Battery Spanish version
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent Assessment Battery
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
att3b_Parent Assessment Battery_ENG.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
480
0
480
0
0
0
Annual IC Time Burden (Hours)
360
0
360
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 3d Parental Battery Spanish version
Att3d_Parental_Battery_SPA.pdf
07/23/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.