Adolescent Pretest Questionnaire

The National Bone Health Campaign Pilot Site Project

Documents and Forms

Document Name Document Type
0990-BodyWorks_pretest 1 29 09_parent.pdf Other-questionnaire
0990-BodyWorks_posttest 1 29 09_parent.pdf Other-questionnaire
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf Other-Evalution Form
0990-Girls BodyWorks Evaluations_Sessions 1-10_012909.pdf Other-questionnaire
0990-Parent BodyWorks Sessions Fideility Forms_1 29 09.pdf Other-survey
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf Other-survey

Information Collection (IC) Details

IC Title:	Adolescent Pretest Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire	0990-BodyWorks_pretest 1 29 09_parent.pdf	Yes	Yes	Fillable Printable
Other-questionnaire	0990-BodyWorks_posttest 1 29 09_parent.pdf	Yes	Yes	Fillable Printable
Other-Evalution Form	0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf	Yes	Yes	Fillable Fileable
Other-questionnaire	0990-Girls BodyWorks Evaluations_Sessions 1-10_012909.pdf	Yes	Yes	Fillable Printable
Other-survey	0990-Parent BodyWorks Sessions Fideility Forms_1 29 09.pdf	Yes	Yes	Fillable Printable
Other-survey	0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	63	63
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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