Information Collection

Office of Adolescent Health Grantee Group Training and Technical Assistance Satisfaction Survey

IC 235917 under ICR 201708-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2-Office of Adolescent Health Grantee Group Training Technical Assistance Satisfaction Survey__Scripts_Instructions_Surveys_OMBC	Other-survey and script
1-Office of Adolescent Health Group Training Technical Assistance Satisfaction Survey_Fast Track_Memo_OMB Control No. 0990-0379 43019.docx OAH Group Training Technical Assistance Satisfaction Survey Memo	IC Document

IC Title:

Office of Adolescent Health Grantee Group Training and Technical Assistance Satisfaction Survey

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-survey and script			2-Office of Adolescent Health Grantee Group Training Technical Assistance Satisfaction Survey__Scripts_Instructions_Surveys_OMBCont_No._0990-0379.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,368

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,368	2,368
Annual IC Time Burden (Hours)	118	118
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OAH Group Training Technical Assistance Satisfaction Survey Memo	1-Office of Adolescent Health Group Training Technical Assistance Satisfaction Survey_Fast Track_Memo_OMB Control No. 0990-0379 43019.docx	05/01/2019

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