Community and Clinical Partner Clinical Partner Needs Assessment

Process Evaluation of "Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives"

OMB: 0920-0952

IC ID: 203971

Information Collection (IC) Details

View Information Collection (IC)

Community and Clinical Partner Clinical Partner Needs Assessment
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0952 Attachment 4 (electronic) Attachment 4 (electronic).pdf Yes Yes Fillable Printable
Form and Instruction N/A Att 4 Clincal Partner Needs Assessment.Revised Att 4 Clincal Partner Needs Assessment.Revised.docx No No Paper Only

Health Health Care Services

 

50 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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