Componet 2 Reporting and Work Plans

Promoting Adolescent Health through School-Based HIV/STD Prevention Reporting Template

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1329 can be found here:

Documents and Forms

Document Name Document Type
Att 5_Component 1 Workplan final (MM edits) 1-31-20.xlsx Other-WORD
Att 5_Component 1 Workplan final (MM edits) 1-31-20.xlsx Other-WORD
Att 6_Component 2 Workplan (3-6-20).xlsx Other-WORD
Att 6_Component 2 Workplan (3-6-20).xlsx Other-WORD
Component 3A Work Plan (3-6-20).docx Component 3A Work Plan IC Document
Component 3A Work Plan (3-6-20).docx Component 3A Work Plan IC Document
Component 3B Work Plan (3-6-20).docx Component 3B Work Plan IC Document
Component 3B Work Plan (3-6-20).docx Component 3B Work Plan IC Document
Component 3C Work Plan (3-6-20).docx Component 3C Work Plan IC Document
Component 3C Work Plan (3-6-20).docx Component 3C Work Plan IC Document

Information Collection (IC) Details

IC Title:	Componet 2 Reporting and Work Plans	Agency IC Tracking Number:	0920-20KN

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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 5_Component 1 Workplan final (MM edits) 1-31-20.xlsx		Yes	Yes	Fillable Fileable
Other-WORD			Att 6_Component 2 Workplan (3-6-20).xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	1,400	1,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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