Information Collection

Feedback on the Implementation of Evidence-Based Teen Pregnancy Prevention Programs

IC 220347 under ICR 201503-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379TPP_Appendix C Semi Structured Protocol for Initial Phone Call.docx	Other-phone
0990-0379TPP_Appendix E Semi Structured Protocol for Second Meeting.docx	Other-teleconference
0990-0379TPP_Appendix A Invitation to Initial Phone Meeting Email Template.docx Email invitation	IC Document
0990-0379TPP_Appendix B Topics for First Meeting.docx Topic	IC Document
0990-0379TPP_Attachment D Agenda for Second Meeting.docx Agenda	IC Document
0990-0379_TP3 FADS Generic_Clearance_Submission 3-1-16_clean (2).doc Suppt. st Memo	IC Document

IC Title:

Feedback on the Implementation of Evidence-Based Teen Pregnancy Prevention Programs

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-phone			0990-0379TPP_Appendix C Semi Structured Protocol for Initial Phone Call.docx		No		Paper Only
Other-teleconference			0990-0379TPP_Appendix E Semi Structured Protocol for Second Meeting.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	105	105
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email invitation	0990-0379TPP_Appendix A Invitation to Initial Phone Meeting Email Template.docx	03/01/2016
Topic	0990-0379TPP_Appendix B Topics for First Meeting.docx	03/01/2016
Agenda	0990-0379TPP_Attachment D Agenda for Second Meeting.docx	03/01/2016
Suppt. st Memo	0990-0379_TP3 FADS Generic_Clearance_Submission 3-1-16_clean (2).doc	03/01/2016

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