Program Participants (girls and female adolecents)

Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0360 can be found here:

Documents and Forms

Document Name Document Type
0990-GirlsBackground Form Participants final (3).doc Other-questions
Appendix D 6 12-17 GEARS proposed JD-HIV Instrument follow up 7_23_10 final.doc Other-survey
Appendix D.5 12-17 GEARS proposed JD-HIV Instrument post test 7_23_10 final.doc Other-survey
Appendix D.4 12-17 GEARS prposed JD-HIV Instrument pre-test 7_23_10 final.doc Other-survey
0990-Girlsat risk Appendix D.1 9-11 GEARS proposed JD-HIV Instrument pre-test.docx Other-survey
0990-Appendix D 2 9-11 GEARS proposed JD-HIV Instrument post-test.docx Other-questionnaire
0990-Appendix D 3 9-11 GEARS proposed JD HIV instrument follow up.doc Other-questionnaire
0990-girlsAppendix_A 1_Overview_of_OWH's_HIV_AIDS_Programs_revised_3_10.doc 0990-girlsAppendix_A 1_Overview_of_OWH's_HIV_AIDS_Programs_revised_3_10 IC Document
0990-Girls at riskAppendix G-Items and Sources for GEARS proposed JD-HIV Instruments July 12 2010.doc 0990-Girls at riskAppendix G-Items and Sources for GEARS proposed JD-HIV Instruments July 12 2010 IC Document

Information Collection (IC) Details

IC Title:	Program Participants (girls and female adolecents)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questions	0990-GirlsBackground Form Participants final (3).doc	No	No	Paper Only
Other-survey	Appendix D 6 12-17 GEARS proposed JD-HIV Instrument follow up 7_23_10 final.doc	No	No	Paper Only
Other-survey	Appendix D.5 12-17 GEARS proposed JD-HIV Instrument post test 7_23_10 final.doc	No	No	Paper Only
Other-survey	Appendix D.4 12-17 GEARS prposed JD-HIV Instrument pre-test 7_23_10 final.doc	No	No	Paper Only
Other-survey	0990-Girlsat risk Appendix D.1 9-11 GEARS proposed JD-HIV Instrument pre-test.docx	No	No	Paper Only
Other-questionnaire	0990-Appendix D 2 9-11 GEARS proposed JD-HIV Instrument post-test.docx	No	No	Paper Only
Other-questionnaire	0990-Appendix D 3 9-11 GEARS proposed JD HIV instrument follow up.doc	No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0990-girlsAppendix_A 1_Overview_of_OWH's_HIV_AIDS_Programs_revised_3_10	0990-girlsAppendix_A 1_Overview_of_OWH's_HIV_AIDS_Programs_revised_3_10.doc	07/23/2010
0990-Girls at riskAppendix G-Items and Sources for GEARS proposed JD-HIV Instruments July 12 2010	0990-Girls at riskAppendix G-Items and Sources for GEARS proposed JD-HIV Instruments July 12 2010.doc	07/23/2010

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