View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Sexual health communication among young adults.	Agency IC Tracking Number:	0920-22FQ

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
Form and Instruction	0920-22FQ	B.DSTDP_sexual comms young adults_Informed consent_Screener_Questionnaire	B.DSTDP_sexual comms young adults_Informed consent_Screener_Questionnaire_OIRAEdits_clean.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	200	0	200	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
B.DSTDP_sexual comms young adults_Informed consent_Screener_Questionnaire	B.DSTDP_sexual comms young adults_Informed consent_Screener_Questionnaire.docx	05/31/2022
Addendum A. MOR and ADRG privacy policy	Addendum A. MOR and ADRG privacy policy.docx	05/31/2022
A.DSTDP_Sexual comms young adults_background	A.DSTDP_Sexual comms young adults_background.docx	05/31/2022
1. DSTDP_Sexual comms young adults_list of attachments	1. DSTDP_Sexual comms young adults_list of attachments.docx	05/31/2022

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