OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Program Participants (girl and female adolescents)

IC 194091 under ICR 201009-0990-001 · OMB 0990-0360.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-questionnaire
Other-Follow-up
Other-pre-test
Other-post-test
Other-follow-up
Information Collection (IC) Details

View Information Collection (IC)

Program Participants (girl and female adolescents)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow-up Respondent-Program Participants aged 9-11 years follow-up instrument 9_14_10.doc No No Paper Only
Other-pre-test Respondent-Program Participants aged 12-17 years pre-test instrument 9_16_10.doc No No Paper Only
Other-post-test Respondent-Program Participants aged 12-17 years post-test instrument 9_14_10.doc No No Paper Only
Other-follow-up Respondent-Program Participants aged 12-17 years follow-up instrument 9_14_10.doc No No Paper Only
Other-Questionnaire Respondent-Program Participants aged 9-11 years pre-test instrument 9_16_10.doc No No Paper Only
Other-questionnaire Respondent-Program Participants aged 9-11 years post-test instrument 9_14_10.doc No No Paper Only

Health Illness Prevention

 

750 0
   
Individuals or Households
 
   0 %

  Requested 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 1,500 0 1,500 0 0 0
Annual IC Time Burden (Hours) 3,000 0 3,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.