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Federal forms, ICRs, and supporting documents

Information Collection Request

Indicators of the Performance of Local and State Education Agencies in HIV Prevention and Coordinated School Health Program Activities for Adolescent and School Health Programs

ICR 200410-0920-009 · OMB 0920-0672 · Historical Active

Forms and Documents
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No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7140 Indicators of the Performance of Local and State Education Agencies in HIV Prevention and Coordinated School Health Program Activities for Adolescent and School Health Programs Migrated
ICR Details
0920-0672 200410-0920-009
Historical Active
HHS/CDC
Indicators of the Performance of Local and State Education Agencies in HIV Prevention and Coordinated School Health Program Activities for Adolescent and School Health Programs
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/18/2005
Retrieve Notice of Action (NOA) 10/20/2004
Approved consistent with CDC memo submitted to OMB 02/17/05.
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008
96 0 0
718 0 0
0 0 0
Currently, there is no standardized annual reporting process for HIV prevention activities or coordinated school health program (CSHP) activities among local education agencies (LEAs) and state/territorial education agencies (SEAs/TEAs) funded by the CDC/Division of Adolescent and School Health (DASH). There will be three Web-based questionnaires corresponding to the specific funding priorities from DASH. Two questionnaires pertain to HIV-prevention program activities among LEAs and SEAs/TEAs. The third questionnaire pertains to CSHP activities among SEAs. Data gathered from the proposed....
None
None
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 96 0 0 96 0 0
Annual Time Burden (Hours) 718 0 0 718 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/20/2004