Evaluation of the Safe Dates Project - Student Effectiveness Baseline Survey

Evaluation of the Safe Dates Project

OMB: 0920-0783

IC ID: 183244

Information Collection (IC) Details

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Evaluation of the Safe Dates Project - Student Effectiveness Baseline Survey
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Student Effectiveness BaselineSurvey.doc Yes No Fillable Printable

Health Illness Prevention

 

10,158 0
   
Individuals or Households
 
   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 10,158 0 10,158 0 0 0
Annual IC Time Burden (Hours) 5,926 0 5,926 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Parents to Recruit Students for Effectiveness Evaluation SafeDates_OMB_Appendix-H.doc 12/18/2007
Parent/Guardian Informed Consent/Teen Assent & Script SafeDates_OMB_Appendix-I.doc 12/18/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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