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6th Grade Curricula Parent Satisfaction Questionnaire
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
OMB: 0920-0941
IC ID: 206025
OMB.report
HHS/CDC
OMB 0920-0941
ICR 201303-0920-001
IC 206025
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0941 can be found here:
2016-01-14 - Revision of a currently approved collection
2014-08-08 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
6th Grade Curricula Parent Satisfaction Questionnaire
Form and Instruction
Parents Matter! for Dating Matters: Participant Satisfac
Atmt MMMM - 6th_Grade_Curricula_Participant_Satisfaction_Questionnaire.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
6th Grade Curricula Parent Satisfaction Questionnaire
Agency IC Tracking Number:
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
Parents Matter! for Dating Matters: Participant Satisfaction Questionnaire
Atmt MMMM - 6th_Grade_Curricula_Participant_Satisfaction_Questionnaire.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,890
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
20 %
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
1,890
0
1,890
0
0
0
Annual IC Time Burden (Hours)
315
0
315
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.