Dosage

OMB Approval # 0990-0XXX

Expiration Date: XX/XX/2018

Dosage of services received by participants

• What is the total attendance for every program participant?

There are 3 performance measures for dosage to be reported to the agency (and to congress) that will be calculated using the attendance data:

• Mean percentage of program services received by youth, summarized by grant type and tier.

• Median percentage of program services received by youth, summarized by grant type and tier.

• The percentage of youth receiving at least 75% of the program (i.e., the percentage of youth with attendance 75% or greater), summarized by grant type and tier.

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 0990-0XXX. The time required to complete this information collection is estimated to average 1.7 hours per response, 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.