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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Reproductive Health and Family Planning Education and Services: Understanding Experiences of Young Adults
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-Recruitment
Attachment C - Email and Text Scripts for Recruitment.docx
No
Paper Only
Other-Focu Group
Attachment A - Family Planning Focus Group Protocol 6.2018.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
522
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
522
0
522
0
0
0
Annual IC Time Burden (Hours)
82
0
82
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS_A
SS-A Family Planning Focus Group PRA Package 6.12.18 clean.docx
06/22/2018
coversheet
Cover Sheet- Family Planning Focus Groups.docx
06/22/2018
consent form
Attachment B - Consent Form.docx
06/22/2018
SS-B
SS-B Family Planning Focus Groups PRA Package 6.12.18.docx
06/22/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.