Information Collection

Cross-Site Evaluation on the Women's Health College Sexual Assault Policy and Prevention Initiative

IC 234623 under ICR 201808-0990-003 · OMB 0990-0467.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_ Grantee Interview Guide.docx	Other-Interview Guide
Attachment C_Invitation Letter_Grantees.docx Invitation to Grantees	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-Interview Guide			Attachment A_ Grantee Interview Guide.docx		No		Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Cross-Site Evaluation on the Womenâs Health College Sexual Assault Policy and Prevention Initiative

FR Citation: 83 FR 43882

Number of Respondents: 9

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	9	9
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation to Grantees	Attachment C_Invitation Letter_Grantees.docx	12/21/2018

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