Information Collection

Gathering Feedback to Rebrand National Teen Pregnancy Prevention Month

IC 251686 under ICR 202306-0990-005 · OMB 0990-0459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Feedback-NTPPM-Survey-OMB-2 18 22.docx	Other-survey and instructions
Feedback-NTPPM-Memo-OMB-2 18 22.docx Fast Track Memo	IC Document

IC Title:

Gathering Feedback to Rebrand National Teen Pregnancy Prevention Month

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-survey and instructions			Feedback-NTPPM-Survey-OMB-2 18 22.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 138

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	138	138
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo	Feedback-NTPPM-Memo-OMB-2 18 22.docx	02/18/2022

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