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

Teen Dating Relationships Opportunities for Youth to Define What's Healthy and Unhealthy (Pilot study)

Documents and Forms

Document Name Document Type
Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy Form and Instruction
appendices OMBAppendices_final_5_16.pdf www.conceptsystemsglobal.com/TDVpilot/brainstorm Form and Instruction

Information Collection (IC) Details

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: Modified

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	appendices	OMBAppendices_final_5_16.pdf	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: 495	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 71 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	495	495
Annual IC Time Burden (Hours)	569	569
Annual IC Cost Burden (Dollars)	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.