Teen Dating Violence Support Group Evaluation Survey (12-Month Follow Up Survey)

A Controlled Evaluation of Expect Respect Support Groups (ERSG): Preventing and Interrupting Teen Dating Violence among At-Risk Middle and High School Students

OMB: 0920-0861

IC ID: 194251

Information Collection (IC) Details

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Teen Dating Violence Support Group Evaluation Survey (12-Month Follow Up Survey)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Completion and Follow-up Survey (12 month) Attachment E - Completion and 12-Month Follow Up Survey Clean Version.doc No No Paper Only

Community and Social Services Social Services

Records of Subjects in Health Promotion and Education Studies  51 FR 42484

400 0
   
Individuals or Households
 
   0 %

  Requested 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 400 0 0 0 0 400
Annual IC Time Burden (Hours) 400 0 0 0 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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