The goal of the study is to evaluate and improve efforts of three awardees funded to work with health centers to enhance implementation of best practices in adolescent reproductive health care. Information collected will be used to continue monitoring awardee performance and determine training and technical assistance. Awardees will continue to conduct assessments of health center organizations, surveys of providers at the health center partner organizations, as well as report on their own activities. This is a request for a Revision of a currently approved data collection (Exp. 1/31/2020) to continue data collection for health center partners and awardees until the end of the funding period (9/30/2020).
The latest form for Performance Monitoring of “Working with Publicly Funded Health Centers to Reduce Teen Pregnancy among Youth from Vulnerable Populations expires 2021-04-30 and can be found here.
Document Name |
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Form and Instruction |
Form |
Form |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2020-01-27 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2017-03-22 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2016-07-13 |
Federal Enterprise Architecture: Health - Health Care Services
Form 0920-1156 | Health Center Org Assessment | Fillable Fileable | Form and instruction |
Form 0920-1156 | Health Center Org Assessment Online | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.