Information Collection Request

Evaluation of Pregnancy Prevention Approaches:Implementation Study Data Collection

ICR 201011-0990-007 · OMB 0990-0375 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
ATTACHMENT D.doc Supplementary Document Uploaded 2011-02-09 Available
ATTACHMENT C.doc Supplementary Document Uploaded 2011-02-09 Available
ATTACHMENT A.doc Supplementary Document Uploaded 2011-02-09 Available
PPA - Implementation - Supporting Statement B - revised 3.17.11.doc Supporting Statement B Uploaded 2011-04-05 Available
0990-PPA_-_Implementation_Supporting Statement A_revised 3.17.11.docx Supporting Statement A Uploaded 2011-04-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195401 Guide for Discussion with Control Group Instruction New
195400 Guide for Focus Group Discussion w/Participating Youths Instruction New
195399 Guide for Focus Group Discusion w/Frontline Staff Instruction New
195398 Staff and community member interview (Master Topic Guide) Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved
360 0 0
516 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 360 0 0 360 0 0
Annual Time Burden (Hours) 516 0 0 516 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No