Information Collection

Building Futures: Supporting Youth Living with HIV, Feedback on Toolkit and Webinars

IC 232123 under ICR 202012-0915-001 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Building Futures: Supporting Youth Living with HIV, Feedback on Toolkit and Webinars	Form
1 BF_Webinar_Survey_4_24_2018.docx BF_Webinar_Survey_4_24_2018.docx	Form
Supporting_Statement_BF_Webinar_Survey_4_24_2018.docx Supporting Statement A	IC Document

IC Title:

Building Futures: Supporting Youth Living with HIV, Feedback on Toolkit and Webinars

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Form	1	BF_Webinar_Survey_4_24_2018.docx	BF_Webinar_Survey_4_24_2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	Supporting_Statement_BF_Webinar_Survey_4_24_2018.docx	07/10/2018

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