NGO Sexual Health Services Measures

Promoting Adolescent Health through School-based HIV/STD Prevention

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1049 can be found here:

Documents and Forms

Document Name Document Type
NGO Sexual Health Services Measures Form
Screenshots for NGO Att 8c NGO Screens 3abc.docx Form
NGO Sexual Health Services Measures Att 3a NGO SHS Items.docx Form

Information Collection (IC) Details

IC Title:	NGO Sexual Health Services Measures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Screenshots for NGO	Att 8c NGO Screens 3abc.docx		Yes	Yes	Fillable Fileable
Form	none	NGO Sexual Health Services Measures	Att 3a NGO SHS Items.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	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.