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Raising Healthy Boys: Communications Toolkit
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1050
IC ID: 240004
OMB.report
HHS/CDC
OMB 0920-1050
ICR 201902-0920-022
IC 240004
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:
2022-05-23 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Att 1. Focus Group.docx
Other-WORD
Att 2. Screening .docx
Other-WORD
1050 Generioc request Raising Healthy Boys (RHB)_2.14.20.docx
Request for Approval
IC Document
Att 3. PIA Raising Healthy Boys (RHB)_signed.pdf
Att 3. PIA Raising Health Boys (RHB)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Raising Healthy Boys: Communications Toolkit
Agency IC Tracking Number:
0920-1050-20JB
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-WORD
Att 1. Focus Group.docx
No
Paper Only
Other-WORD
Att 2. Screening .docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
216
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
216
0
216
0
0
0
Annual IC Time Burden (Hours)
154
0
154
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval
1050 Generioc request Raising Healthy Boys (RHB)_2.14.20.docx
02/19/2020
Att 3. PIA Raising Health Boys (RHB)
Att 3. PIA Raising Healthy Boys (RHB)_signed.pdf
02/19/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.