Information Collection

Program Participants (girls and female adolecents)

IC 194091 under ICR 201008-0990-001 · OMB 0990-0360.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.