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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.