ERSG Facilitator Program Implementation Fidelity Measure

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: 197245

Information Collection (IC) Details

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ERSG Facilitator Program Implementation Fidelity Measure
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Facilitator Program Implementation Fidelity Measure Appendix J - Facilitator Fidelity Measure - Clean Version 9.9.11.doc No No Paper Only

Community and Social Services Social Services

 

8 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 16 0 0 0 0 16
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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