Outcome Evaluation of "Teenage Pregnancy Prevention:Intergrating Services, Programs, and Strategies through Community-Wide Intitatives"

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-TPP CDC OMB Comment Responses 1-30_12.docx	Supplementary Document	Uploaded 2012-02-08	Available
0990-TPP evaluation supporting_statement_B_July 2011.docx	Supporting Statement B	Uploaded 2011-10-20	Available
0990-TPP evaluation Attachment D_Parental Consent2_7_12.docx	Supplementary Document	Uploaded 2012-02-08	Available
0990-TPP evaluation Attachment E_Youth Assent2_7_12.docx	Supplementary Document	Uploaded 2012-02-08	Available
0990-TPP evaluation Attachment G_household notification.docx	Supplementary Document	Uploaded 2011-10-21	Available
0990-TPP evaluation Attachment F_Young Adult Consent2_7_12.docx	Supplementary Document	Uploaded 2012-02-08	Available
0990-TPP evaluation supporting_statement_A_1_27_12.docx	Supporting Statement A	Uploaded 2012-02-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199830	Evaluation of Adolescent Pregnancy Prevention Approaches Household (Modified PPA) Survey	Other-survey	New

ICR Details

OMB Control No: 0990-0389	ICR Reference No: 201110-0990-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Outcome Evaluation of "Teenage Pregnancy Prevention:Intergrating Services, Programs, and Strategies through Community-Wide Intitatives"
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/22/2012
	Date Received in OIRA: 10/21/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved
Responses	6,000	0	0
Time Burden (Hours)	4,500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The main objective for the proposed Outcome Evaluation of Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-wide Initiatives is to measure risk behaviors, pregnancies, and use of contraceptives and family planning services among youth.

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Authorizing Statute(s): PL: Pub.L. 111 - 117 1 Name of Law: Consolidated Appropriations Act, 2010
   US Code: 42 USC 241 Name of Law: Section 301 of the Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 14398	03/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53902	08/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Evaluation of Adolescent Pregnancy Prevention Approaches Household (Modified PPA) Survey

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ICR Summary of Burden

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	6,000	0	0	6,000	0	0
Annual Time Burden (Hours)	4,500	0	0	4,500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New collection

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Annual Cost to Federal Government: $875,568

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/21/2011

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