Princeton Center for Leadership Training /TeenPEP

Evaluation of Pregnancy Prevention Approaches - First Follow-up

Documents and Forms

Document Name Document Type
0990-0382Attachment G_TEEN PEP.pdf Other-instrument
Instrument 5_OICA FollowUp Survey.pdf Other-interview
0990-0382Attachment H_ Combined.pdf 0990-0382Attachment H_ Combined IC Document

Information Collection (IC) Details

IC Title:	Princeton Center for Leadership Training /TeenPEP	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
Other-instrument			0990-0382Attachment G_TEEN PEP.pdf		Yes	No	Printable Only
Other-interview			Instrument 5_OICA FollowUp Survey.pdf		No		Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 548	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	Previously Approved
Annual Number of Responses for this IC	1,096	190	906
Annual IC Time Burden (Hours)	658	114	544
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
0990-0382Attachment H_ Combined	0990-0382Attachment H_ Combined.pdf	03/29/2012

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