Information Collection

Feedback onTopics of Interest for the Provision of technical assistance for Teen Pregnancy Prevention Program Grantees in FY2019

IC 237566 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⚠️ Notice: This information collection may be referencing outdated material.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
Feedback on Topics of Interest for Provision of technical assistance TPP2019Grantees_script and needs assessment survey.docx	Other-survey and instruction
Feedback on Topics of Interest for Provision of technical assistance_TPP2019Grantees_Fast Track_Clearance_Memo_082719_tr.doc fast track memo	IC Document

IC Title:

Feedback onTopics of Interest for the Provision of technical assistance for Teen Pregnancy Prevention Program Grantees in FY2019

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 instruction			Feedback on Topics of Interest for Provision of technical assistance TPP2019Grantees_script and needs assessment survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

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	58	58
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track memo	Feedback on Topics of Interest for Provision of technical assistance_TPP2019Grantees_Fast Track_Clearance_Memo_082719_tr.doc	08/28/2019

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