Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy

Teen Dating Relationships Opportunities for Youth to Define What's Healthy and Unhealthy (Pilot study)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0333 can be found here:

Documents and Forms

Document Name Document Type
Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy Form and Instruction
Teen Dating Relationships: Opportunities for Youth to de OMBAppendicesNovember2011 (2).doc www.conceptsystemsglobal.com/TDVpilot/brainstorm Form and Instruction

Information Collection (IC) Details

IC Title:	Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy	Agency IC Tracking Number:	NIJ

Is this a Common Form? No		IC Status: New

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
Form and Instruction	none	Teen Dating Relationships: Opportunities for Youth to define what healthy and unhealthy	OMBAppendicesNovember2011 (2).doc	www.conceptsystemsglobal.com/TDVpilot/brainstorm	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 71 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	253	253
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.