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Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 240803
OMB.report
HHS/ACF
OMB 0970-0401
ICR 201801-0970-013
IC 240803
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment A - Participant Feedback Instrument for Needs Assessment_ PS accepted final clean 3-19-20.docx
Other-null
fast_track_PRA_submission_short-form_ PS accepted final clean 3-19-20.docx
FastTrack Submission Form - SRAE Grantee TA Needs Feedback
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-null
Attachment A - Participant Feedback Instrument for Needs Assessment_ PS accepted final clean 3-19-20.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
126
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
126
0
126
0
0
0
Annual IC Time Burden (Hours)
32
0
32
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack Submission Form - SRAE Grantee TA Needs Feedback
fast_track_PRA_submission_short-form_ PS accepted final clean 3-19-20.docx
03/20/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.