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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Measuring Self- and Co-Regulation in Sexual Risk Avoidance Education Programs Phase 1
Agency IC Tracking Number:
IC Status:
Unchanged
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-Survey
Instrument 1-Youth-Self Assessment Version A.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 2-Youth Self-Assessment Version B.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Requested
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
900
0
0
0
0
900
Annual IC Time Burden (Hours)
153
0
0
0
0
153
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
Self-reg Measure Pretest SSA 02.21.2023 Final.docx
02/21/2023
Supporting Statement B
Self-reg Measure Pretest SSB 02.21.2023 Final.docx
02/21/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.