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

ICR 201808-0920-005

OMB: 0920-1235

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Removed
Form and Instruction
Removed
Form and Instruction
Removed
Justification for No Material/Nonsubstantive Change
2018-08-10
Supporting Statement A
2018-04-10
Supporting Statement B
2018-04-10
Supplementary Document
2018-04-10
Supplementary Document
2018-04-10
Supplementary Document
2018-04-10
Supplementary Document
2018-04-10
Supplementary Document
2018-04-10
ICR Details
0920-1235 201808-0920-005
Historical Active 201804-0920-006
HHS/CDC 0920-18AF
Assessments to Inform Program Refinement for HIV, other STD, and Pregnancy Prevention among Middle and High-School Aged Youth
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/13/2018
Retrieve Notice of Action (NOA) 08/10/2018
Terms continue: Approved with the understanding that any GenICs submitted that are out of scope will be returned and, if ultimately pursued, will go through the standard notice and comment process prior to resubmitting.
  Inventory as of this Action Requested Previously Approved
06/30/2019 06/30/2019 06/30/2019
67,000 0 67,000
57,584 0 57,584
0 0 0

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.

US Code: 42 USC Sec 301.241(a) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  82 FR 51835 11/08/2017
83 FR 13750 03/30/2018
Yes

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 67,000 67,000 0 0 0 0
Annual Time Burden (Hours) 57,584 57,584 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a NEW Generic information collection request (ICR)>

$46,238
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/10/2018


© 2024 OMB.report | Privacy Policy