Information Collection

Sexual Risk Avoidance Education Grantee COVID-19 Interviews

IC 249483 under ICR 202201-0970-002 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1 - SRAENE grantee Covid Interview questions FINAL_9.24.21.docx	Other-Interview Protocol
Instrument 1 - SRAENE grantee Covid Interview questions FINAL_9.24.21.docx	Other-Interview Protocol
SSA_Grantee Interviews COVID 10.19.2021.docx SSA - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	IC Document
SSA_Grantee Interviews COVID 10.19.2021.docx SSA - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	IC Document
SSB_Grantee Interviews COVID 10.19.2021.docx SSB - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	IC Document
SSB_Grantee Interviews COVID 10.19.2021.docx SSB - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	IC Document
Appendix A. Grantee Email Invitations.docx Appendix A. Grantee Email Invitation	IC Document
Appendix A. Grantee Email Invitations.docx Appendix A. Grantee Email Invitation	IC Document
Appendix B. QualBoard Invitation Email.png Appendix B: QualBoard Invitation Email	IC Document
Appendix B. QualBoard Invitation Email.png Appendix B: QualBoard Invitation Email	IC Document

IC Title:

Sexual Risk Avoidance Education Grantee COVID-19 Interviews

Agency IC Tracking Number:

OPRE

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-Interview Protocol			Instrument 1 - SRAENE grantee Covid Interview questions FINAL_9.24.21.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: 150

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	150	150
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	SSA_Grantee Interviews COVID 10.19.2021.docx	11/01/2021
SSB - Formative ACF Program Support GenIC - SRAE Grantee COVID Interviews	SSB_Grantee Interviews COVID 10.19.2021.docx	11/01/2021
Appendix A. Grantee Email Invitation	Appendix A. Grantee Email Invitations.docx	09/24/2021
Appendix B: QualBoard Invitation Email	Appendix B. QualBoard Invitation Email.png	09/24/2021

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