Chicago Public Schools

Evaluation of Pregnancy Prevention Approaches - First Follow-up

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0382 can be found here:

Documents and Forms

Document Name Document Type
0990-0382Attachment A_CHICAGO.pdf Other-survey

Information Collection (IC) Details

IC Title:	Chicago Public Schools	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			0990-0382Attachment A_CHICAGO.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,308	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,308	878	430
Annual IC Time Burden (Hours)	785	570	215
Annual IC Cost Burden (Dollars)	0	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.