Information Collection

Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment

IC 240803 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - Participant Feedback Instrument for Needs Assessment_ PS accepted final clean 3-19-20.docx	Other-
Attachment A - Participant Feedback Instrument for Needs Assessment_ PS accepted final clean 3-19-20.docx	Other-
fast_track_PRA_submission_short-form_ PS accepted final clean 3-19-20.docx FastTrack Submission Form - SRAE Grantee TA Needs Feedback	IC Document
fast_track_PRA_submission_short-form_ PS accepted final clean 3-19-20.docx FastTrack Submission Form - SRAE Grantee TA Needs Feedback	IC Document

IC Title:

Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment

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
Other-			Attachment A - Participant Feedback Instrument for Needs Assessment_ PS accepted final clean 3-19-20.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126

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: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	126	126
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack Submission Form - SRAE Grantee TA Needs Feedback	fast_track_PRA_submission_short-form_ PS accepted final clean 3-19-20.docx	03/20/2020

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