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Grantee program staff
ACYF Pregnancy Prevention Performance Measure Collection
OMB: 0990-0392
IC ID: 199776
OMB.report
HHS/HHSDM
OMB 0990-0392
ICR 201305-0990-001
IC 199776
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0392 can be found here:
2015-04-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-ACYF_PM_Instrument 1 Perceived Impact 8-9.docx
Other-survey
099-ACYF_PM Instrument 2 Reporting Form Reach 8-4.docx
Other-survey
0990-PPA_PM OMB ICR Instrument 2 Reporting Form Reach revised 2 2012.docx
Other-Instrument 2 Reporting Form Re
0990-PPA_PM OMB ICR Instrument 1 Perceived Impact revised 2 2012.docx
Other-Instrument 1 Perceived Impact
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Grantee program staff
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-ACYF_PM_Instrument 1 Perceived Impact 8-9.docx
Yes
Yes
Fillable Printable
Other-survey
099-ACYF_PM Instrument 2 Reporting Form Reach 8-4.docx
Yes
Yes
Fillable Printable
Other-Instrument 2 Reporting Form Reach revised 2 2012
0990-PPA_PM OMB ICR Instrument 2 Reporting Form Reach revised 2 2012.docx
Yes
Yes
Fillable Printable
Other-Instrument 1 Perceived Impact revised 2 2012
0990-PPA_PM OMB ICR Instrument 1 Perceived Impact revised 2 2012.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
107
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
214
0
0
0
0
214
Annual IC Time Burden (Hours)
856
0
0
0
0
856
Annual IC Cost Burden (Dollars)
0
0
0
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.