Information Collection

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

IC 198095 under ICR 201106-1121-001 · OMB 1121-0333.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.