Information Collection

Providing Insight into how the Safer Sex Intervention Works: Understanding Experiences of Youth and Health Educators

IC 223402 under ICR 201704-0990-009 · OMB 0990-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A_FocusGroup_Guide_Youth_Revised 9.1.16.docx	Other-focus group
B_FocusGroup_Guide_HealthEducators Revised 9.1.16.docx	Other-GUIDE
SSA_Hennepin Focus Groups OIRA update 9-2-16 CLEAN.docx SS-A	IC Document
SSB_Hennepin Focus Groups Revised 8.29.16 CLEAN.docx SS-B	IC Document
D - Youth Recruitment Email Scripts.docx EMAIL SCRIPT	IC Document
C-Consent Forms for Participation OIRA updated 9-2-16 CLEAN.docx CONSENT	IC Document
E - Recruitment email for Health Educators.docx RECRUITMENT	IC Document

IC Title:

Providing Insight into how the Safer Sex Intervention Works: Understanding Experiences of Youth and Health Educators

Agency IC Tracking Number:

IC Status: Unchanged

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-focus group					No		Paper Only
Other-GUIDE					No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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