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Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0920-1235 ยท HHS/CDC.

OMB 0920-1235

The goal of this generic ICR is to conduct qualitative and quantitative data collection from adolescents (ages 11-19) and their parents/caregivers for the purpose of needs assessment and program refinement for programs and services designed to prevent HIV, STDs, and pregnancy among middle and high school aged adolescents. Data will be used to improve program and service.

The latest form for [NCHHSTP] Assessments to Inform Program Refinement for HIV, other STD, and Pregnancy Prevention among Middle and High-School Aged Youth expires 2022-05-31 and is listed under ICR 201903-0920-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1235 Sample Instrument: Parent Interview/Focus Group GuideForm and Instruction
Form 0920-1235 Sample Instrument: Parent Interview/Focus Group GuideForm and Instruction
0920-1235 Change Request 02MAY2023.docx Justification for No Material/Nonsubstantive Change
0920-1235 Change Request 02MAY2023.docx Justification for No Material/Nonsubstantive Change
Att 1-AuthLegislation.docx Supplementary Document
Att 1-AuthLegislation.docx Supplementary Document
Att 8_Individuals_Consulted.docx Supplementary Document
Att 8_Individuals_Consulted.docx Supplementary Document
Att 2 60 Day FRN Published 8-2-2021.pdf Supplementary Document
Att 2 60 Day FRN Published 8-2-2021.pdf Supplementary Document
SSA (0920-1235).docxSupporting Statement A
SSA (0920-1235).docxSupporting Statement A
SSB(0920-1235).docxSupporting Statement B
SSB(0920-1235).docxSupporting Statement B
Sample Instrument: Parent Interview/Focus Group Guide Form and Instruction
Sample Instrument: Parent Interview/Focus Group Guide Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202305-0920-001 No material or nonsubstantive change to a currently approved collection 2023-05-04 Approved without change
202112-0920-005 Extension without change of a currently approved collection 2022-01-13 Approved without change
201903-0920-003 Extension without change of a currently approved collection 2019-04-03 Approved without change
201808-0920-005 No material or nonsubstantive change to a currently approved collection 2018-08-10 Approved without change
201804-0920-006 New collection (Request for a new OMB Control Number) 2018-04-12 Approved without change

OMB Details

Sample Instrument: Youth Pre/Post Questionnaire

Federal Enterprise Architecture: Health - Illness Prevention