Category 4 Measures (1 measures)

Pregnancy Assistance Fund (PAF) Performance Measures Collection

0990-0416_Renewal_Attachement F_Forms_Category4 Grantees_PAF PM Renewal_0990_0416

Category 4 Measures (1 measures)

OMB: 0990-0416

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OMB #: 0990-0416

Expiration Date: xx/xx/xxxx


Attachement F: Form for Category 4 Grantee Programs Only (Grantees who are Increasing Public Awareness and Education)


4.1 How many public awareness or education strategies were implemented by the program during the reporting period?

Indicate the number in each category below.

a) Website

b) Social Media Campaign (Facebook, Twitter, Tumblr, Text Messaging Campaigns, etc.)

c) Public Service Announcements (PSAs) distributed by radio, television, newspapers, billboards, bus boards, etc.

d) Distribution of brochures, leaflets, newsletters, and other print materials

e) In-person events (such as rallies, conferences, community fairs, and speeches)

f) Other





According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0416. The time required to complete this information collection is estimated to average 1 hours per respondent, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTara Rice
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File Created2021-01-22

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