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Federal forms, ICRs, and supporting documents

Information Collection Request

Integrating HIV and Other Prevention Services into Reproductive Health and Other Community Setting Program Evaluation

ICR 200601-0920-005 · OMB 0920-0715 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7184 Integrating HIV and Other Prevention Services into Reproductive Health and Other Community Setting Program Evaluation Migrated
ICR Details
0920-0715 200601-0920-005
Historical Active
HHS/CDC
Integrating HIV and Other Prevention Services into Reproductive Health and Other Community Setting Program Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/07/2006
Retrieve Notice of Action (NOA) 01/24/2006
Approved consistent with CDC memo submitted to OMB 3/31/06.
  Inventory as of this Action Requested Previously Approved
04/30/2009 04/30/2009
20 0 0
26 0 0
0 0 0
Integrating HIV and Prevention Services into Reproductive Health and Other Community Settings is a 5-year cooperative agreement that funds 10 projects, who deliver training and technical assistance to promote health agencies integrating prevention services into existing reproductive health services. In order to evaluate the reach of the program, CDC proposes to establish and conduct an on-line data collection for evaluating the operations of the 10 projects. The system will provide projects a direct means to submit their required twice yearly progress reports.
None
None
No
1
IC Title Form No. Form Name
Integrating HIV and Other Prevention Services into Reproductive Health and Other Community Setting Program Evaluation
  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 20 0 0 20 0 0
Annual Time Burden (Hours) 26 0 0 26 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
01/24/2006