Community Stakeholder Interview

Cross-site Study Data for Improving Implementation Evaluation among Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) Grantees to inform National Implementations (IMAGIN)

Documents and Forms

Document Name Document Type
0990_New_Cross_Site_IMAGIN_Instrument3 Community Stakeholders.docx Other-Interview Guide

Information Collection (IC) Details

IC Title:	Community Stakeholder Interview	Agency IC Tracking Number:

Is this a Common Form? No		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-Interview Guide			0990_New_Cross_Site_IMAGIN_Instrument3 Community Stakeholders.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9	9
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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