Information Collection

Sexual Risk Avoidance Education (SRAE) Grantee Webinar and Cluster Call Feedback Survey

IC 257430 under ICR 202305-0970-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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 - Survey Instrument_Updated SRAE Contract_Rev 12-13-22.docx	Other-Survey
Attachment A - Survey Instrument_Updated SRAE Contract_Rev 12-13-22.docx	Other-Survey
SRAE Webinar.Cluster Call survey submission form 2022_Rev 12-13-22.docx FastTrack GenIC Submission Form - SRAE Webinar Feedback Survey	IC Document
SRAE Webinar.Cluster Call survey submission form 2022_Rev 12-13-22.docx FastTrack GenIC Submission Form - SRAE Webinar Feedback Survey	IC Document

IC Title:

Sexual Risk Avoidance Education (SRAE) Grantee Webinar and Cluster Call Feedback Survey

Agency IC Tracking Number:

FYSB

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-Survey			Attachment A - Survey Instrument_Updated SRAE Contract_Rev 12-13-22.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: 171

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	1,368	1,368
Annual IC Time Burden (Hours)	164	164
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC Submission Form - SRAE Webinar Feedback Survey	SRAE Webinar.Cluster Call survey submission form 2022_Rev 12-13-22.docx	12/16/2022

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