Information Collection Request

Evaluation of Pregnancy Prevention Approaches - First Follow-up

ICR 201109-0990-003 · OMB 0990-0382 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
PPA - FU1 - ICR - Supporting Statement B_response to OMB_for submission_091311clean-1.docx Supporting Statement B Uploaded 2011-09-14 Available
Attachment F_Pretest Report.pdf Supplementary Document Uploaded 2011-07-13 Available
Attachment D_ Persons and entities consulted.pdf Supplementary Document Uploaded 2011-07-13 Available
Attachment c_Sources referenced_FU1_ to OMB.pdf Supplementary Document Uploaded 2011-07-13 Available
Attachment B - Question Justification.pdf Supplementary Document Uploaded 2011-07-13 Available
Attachment A - Question by Question Source List and Crosswalk_Baseline_FU1_OMB.pdf Supplementary Document Uploaded 2011-07-13 Available
PPA - FU1 - ICR - Supporting Statement A_response to OMB_for submission_091511clean-3.docx Supporting Statement A Uploaded 2011-09-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
198423 Instrument 6 Other-Instrument 6 Removed
198422 Instrument 5 Other-Instrument 5 Removed
198421 Instrument 4 Other-Instrument 4 Removed
198420 Instrument 3 Other-Instrument 3 Removed
192281 Oklahoma Institute Child Advocacy (OICA) Other-#2 - OICA Modified
186736 Chicago Public Schools Other-#1 - Chicago Public Schools Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved
1,042 0 2,468
582 0 1,601
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Chicago Public Schools
Oklahoma Institute Child Advocacy (OICA)
Instrument 3
Instrument 5
Instrument 6
Instrument 4

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 1,042 2,468 0 -1,426 0 0
Annual Time Burden (Hours) 582 1,601 0 -1,019 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No