Providing Insight into how the Safer Sex Intervention Works: Understanding Experiences of Youth and Health Educators

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Document Name Document Type
A_FocusGroup_Guide_Youth_Revised 9.1.16.docx Other-focus group
B_FocusGroup_Guide_HealthEducators Revised 9.1.16.docx Other-GUIDE
SSA_Hennepin Focus Groups OIRA update 9-2-16 CLEAN.docx SS-A IC Document
SSB_Hennepin Focus Groups Revised 8.29.16 CLEAN.docx SS-B IC Document
D - Youth Recruitment Email Scripts.docx EMAIL SCRIPT IC Document
C-Consent Forms for Participation OIRA updated 9-2-16 CLEAN.docx CONSENT IC Document
E - Recruitment email for Health Educators.docx RECRUITMENT IC Document

Information Collection (IC) Details

IC Title:	Providing Insight into how the Safer Sex Intervention Works: Understanding Experiences of Youth and Health Educators	Agency IC Tracking Number:

IC Status: New

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-focus group			A_FocusGroup_Guide_Youth_Revised 9.1.16.docx		No		Paper Only
Other-GUIDE			B_FocusGroup_Guide_HealthEducators Revised 9.1.16.docx		No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SS-A	SSA_Hennepin Focus Groups OIRA update 9-2-16 CLEAN.docx	09/07/2016
SS-B	SSB_Hennepin Focus Groups Revised 8.29.16 CLEAN.docx	09/07/2016
EMAIL SCRIPT	D - Youth Recruitment Email Scripts.docx	09/07/2016
CONSENT	C-Consent Forms for Participation OIRA updated 9-2-16 CLEAN.docx	09/07/2016
RECRUITMENT	E - Recruitment email for Health Educators.docx	09/07/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.