Information Collection

Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys

IC 235540 under ICR 201801-0970-013 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-Overall Conference Satisfaction Survey Final for OMB Submission 4-1-2019.docx	Other-survey
Attachment B -Session Specific Satisfaction Survey FINAL for OMB Submission 4-1-2019.docx	Other-survey
APP Conference Evaluation OMB submission form Final 4-1-2019.doc Fast Track Generic Submission Form - APP Conference Eval	IC Document

IC Title:

Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys

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			Attachment A-Overall Conference Satisfaction Survey Final for OMB Submission 4-1-2019.docx		Yes	Yes	Fillable Fileable
Other-survey			Attachment B -Session Specific Satisfaction Survey FINAL for OMB Submission 4-1-2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 275

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	1,925	1,925
Annual IC Time Burden (Hours)	201	201
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Generic Submission Form - APP Conference Eval	APP Conference Evaluation OMB submission form Final 4-1-2019.doc	04/01/2019

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