Evaluation of Pregnancy Prevention Program Replications for High Risk and Hard to Reach Youth

OMB 0990-0472

The Office of the Assistant Secretary for Health (OASH), U.S. Department of Health and Human Services (HHS), is requesting approval by OMB of a new information collection request specific to Pregnancy Prevention Programs for Adolescents: A Replication Study. The request is for 24 months. OASH is proposing to conduct an independent evaluation examining whether programs that have been proven effective through rigorous evaluation can be replicated with similarly successful and consistent results among hard-to-reach, high-risk, vulnerable, or understudied youth. The independent evaluator, MITRE, will use a quasi-experimental design to measure program effects on youth knowledge, attitudes, beliefs, intentions, and behaviors related to sexual health. The evaluation will also examine youth perspectives regarding participation in adolescent pregnancy prevention programs. Up to eight implementing organizations—organizations focused on health, education, and social services that have experience working with community-based organizations to implement pregnancy prevention programs for adolescents—will implement previously proven-effective adolescent pregnancy prevention programs for up to 1,900 youth. Baseline data will be collected from a matched comparison group with a subset of these participating program youth. Findings will inform OASH’s programmatic efforts to improve sexual health knowledge, attitudes, beliefs, intentions, and behaviors among hard-to-reach, vulnerable, or understudied youth.

The latest form for Evaluation of Pregnancy Prevention Program Replications for High Risk and Hard to Reach Youth expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 6 Focus group participation/protocol Form and Instruction
Form 7 Focus Group Assent Form Form and Instruction
Form 5 3 month follow-up survey Form and Instruction
Form 4 Follow-up Survey Form and Instruction
Form 3 Youth Baseline Form and Assent Form
Form 1 Parental Consent Form Form and Instruction
Appendix L_Follow-up Survey Export from Qualtrics.docx Supplementary Document
Appendix K_Baseline Survey Export from Qualtrics.docx Supplementary Document
Appendix H_IRB Approval_A080-M20-076.docx Supplementary Document
Appendix G_ Certificate of Confidentiality_CC-OD-20-38.pdf Supplementary Document
OASH Task 3_OMB PRA_SSA_4.9.2020.docx Supporting Statement A
Published 60-day 0990-Evaluation of PP Program Replication_ high risk.pdf Supplementary Document
OASH Task 3_OMB PRA_SSB.docx Supporting Statement B
Focus group participation/protocol Form and Instruction
Focus Group Assent Form Form and Instruction
3 month follow-up survey Form and Instruction
Follow-up Survey Form and Instruction
Youth Baseline Form and Assent Form
Parental Consent Form Form and Instruction

All Historical Document Collections

202001-0990-001

Approved with change

New collection (Request for a new OMB Control Number)

2020-03-04

OMB Details

Parental Consent Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 1

Parental consent for youth participation in study

Paper Only

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.