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Reducing the Risk - Inexperienced
TPP Replication Study Follow Up Data Collection
OMB: 0990-0405
IC ID: 204999
OMB.report
HHS/HHSDM
OMB 0990-0405
ICR 201212-0990-001
IC 204999
( )
Documents and Forms
Document Name
Document Type
Form 3
Reducing the Risk - Inexperienced
Form and Instruction
3 Reducing the Risk - Inexperienced
TPP Replication Study Follow-Up Survey Attachment F - RtR_Cuidate Sexually Inexperienced.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reducing the Risk - Inexperienced
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form and Instruction
3
Reducing the Risk - Inexperienced
TPP Replication Study Follow-Up Survey Attachment F - RtR_Cuidate Sexually Inexperienced.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,900
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,800
0
3,800
0
0
0
Annual IC Time Burden (Hours)
1,900
0
1,900
0
0
0
Annual IC Cost Burden (Dollars)
689
0
689
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.