Program Staff

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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix D 6 12-17 GEARS proposed JD-HIV Instrument follow up 7_23_10 final.doc Other-survey
0990-GirlsAppendix_A 2_Contact_Information-OWH_Contractors_(JD_only).doc Instruction
0990-Appendix D 1 9-11 GEARS proposed JD-HIV Instrument pre-test.docx Other-interview

Information Collection (IC) Details

IC Title:	Program Staff	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview	0990-Appendix D 1 9-11 GEARS proposed JD-HIV Instrument pre-test.docx	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
Instruction	0990-GirlsAppendix_A 2_Contact_Information-OWH_Contractors_(JD_only).doc	No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.