Cost Tool

Cost Study of Evidence-Based Teen Pregnancy Prevention Programs

Documents and Forms

Document Name Document Type
0990-Cost Study Instrument #1 - #### NAME TPP Cost Study_Cost Survey_5-14-14.xlsx Other-spreadsheet

Information Collection (IC) Details

IC Title:	Cost Tool	Agency IC Tracking Number:

Is this a Common Form? No		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-spreadsheet			0990-Cost Study Instrument #1 - #### NAME TPP Cost Study_Cost Survey_5-14-14.xlsx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	30	30
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	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.