Teen Dating Violence Support Group Evaluation Survey (Baseline 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: 194255

Information Collection (IC) Details

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Teen Dating Violence Support Group Evaluation Survey (Baseline Survey)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Att D - Baseline Survey Attachment D - Baseline Survey Clean Version 3.2.11 kh.doc No No Paper Only

Community and Social Services Social Services

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

600 0
   
Individuals or Households
 
   0 %

  Approved 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 600 0 0 0 0 600
Annual IC Time Burden (Hours) 600 0 0 0 0 600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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