Sample Instrument: Parent Interview/Focus Group Guide

Assessments to Inform Program Refinement for HIV, other STD, and Pregnancy Prevention among Middle and High-School Aged Youth

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1235 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1235 Sample Instrument: Parent Interview/Focus Group Guide Form and Instruction
0920-1235 Sample Instrument: Parent Interview/Focus Group Guide Att 7-Sample Instrument-Parent-Caregiver Interview-Focus Group Guide.docx Form and Instruction
0920-1235 Sample Instrument: Parent/Caregiver Survey Att 6-Sample Instrument-Parent-Caregiver Survey.docx Form and Instruction
0920-1235 Youth Interview/Focus Group Guide Att 5-Sample Instrument-Youth Focus Group Guide.docx Form and Instruction
0920-1235 Sample Instrument: Youth Pre/Post Questionnaire Att 4-Sample Instrument-Youth Pre-Post Questionnaire.docx Form and Instruction
0920-1235 Sample Instrument: Youth Questionnaire Att 3-Sample Instrument-Youth Questionnaire.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Sample Instrument: Parent Interview/Focus Group Guide	Agency IC Tracking Number:	0920-1235

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	0920-1235	Sample Instrument: Parent Interview/Focus Group Guide	Att 7-Sample Instrument-Parent-Caregiver Interview-Focus Group Guide.docx	No	Paper Only
Form and Instruction	0920-1235	Sample Instrument: Parent/Caregiver Survey	Att 6-Sample Instrument-Parent-Caregiver Survey.docx	No	Fillable Fileable
Form and Instruction	0920-1235	Youth Interview/Focus Group Guide	Att 5-Sample Instrument-Youth Focus Group Guide.docx	No	Paper Only
Form and Instruction	0920-1235	Sample Instrument: Youth Pre/Post Questionnaire	Att 4-Sample Instrument-Youth Pre-Post Questionnaire.docx	No	Fillable Fileable
Form and Instruction	0920-1235	Sample Instrument: Youth Questionnaire	Att 3-Sample Instrument-Youth Questionnaire.docx	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 43,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	87,000	87,000
Annual IC Time Burden (Hours)	57,584	57,584
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.