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Program Participants Focus Group (Girls and Female Adolescents)
Girls at Greater Risk for Juvenile Delinquency and HIV Prevention Program
OMB: 0990-0360
IC ID: 194093
OMB.report
HHS/HHSDM
OMB 0990-0360
ICR 201009-0990-004
IC 194093
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0360 can be found here:
2013-09-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Program Participants Focus Group (Girls and Female Adolescents)
Form
1 Participants Focus Group Background Form
Respondent-Program Participants' Focus Group Background Form 9_26_10[1].doc
Form
1 Participants Focus Group Protocol
Respondent-Program_Participant_Focus_Group_Protocol_9_14_101.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Program Participants Focus Group (Girls and Female Adolescents)
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
Form
1
Participants Focus Group Background Form
Respondent-Program Participants' Focus Group Background Form 9_26_10[1].doc
No
No
Paper Only
Form and Instruction
1
Participants Focus Group Protocol
Respondent-Program_Participant_Focus_Group_Protocol_9_14_101.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
120
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
120
0
120
0
0
0
Annual IC Time Burden (Hours)
180
0
180
0
0
0
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.