Information Collection

Reproductive Health and Family Planning Education and Services: Understanding Experiences of Young Adults

IC 231849 under ICR 201705-0990-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment C - Email and Text Scripts for Recruitment.docx	Other-Recruitment
Attachment A - Family Planning Focus Group Protocol 6.2018.docx	Other-Focu Group
SS-A Family Planning Focus Group PRA Package 6.12.18 clean.docx SS_A	IC Document
Cover Sheet- Family Planning Focus Groups.docx coversheet	IC Document
Attachment B - Consent Form.docx consent form	IC Document
SS-B Family Planning Focus Groups PRA Package 6.12.18.docx SS-B	IC Document

IC Title:

Reproductive Health and Family Planning Education and Services: Understanding Experiences of Young Adults

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-Recruitment			Attachment C - Email and Text Scripts for Recruitment.docx		No		Paper Only
Other-Focu Group			Attachment A - Family Planning Focus Group Protocol 6.2018.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 522

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	522	522
Annual IC Time Burden (Hours)	82	82
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS_A	SS-A Family Planning Focus Group PRA Package 6.12.18 clean.docx	06/22/2018
coversheet	Cover Sheet- Family Planning Focus Groups.docx	06/22/2018
consent form	Attachment B - Consent Form.docx	06/22/2018
SS-B	SS-B Family Planning Focus Groups PRA Package 6.12.18.docx	06/22/2018

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