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Student Outcome Survey Follow-up - High School
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
OMB: 0920-0941
IC ID: 201397
OMB.report
HHS/CDC
OMB 0920-0941
ICR 201309-0920-005
IC 201397
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Student Outcome Survey Follow-up - High School
Form
Student Outcome Survey
Atmt_E_Student_Outcome_Survey_HIGH SCHOOL Follow-Up_9.4.13 final.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Outcome Survey Follow-up - High School
Agency IC Tracking Number:
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
none
Student Outcome Survey
Atmt_E_Student_Outcome_Survey_HIGH SCHOOL Follow-Up_9.4.13 final.doc
Yes
No
Fillable Printable
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:
10,692
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
10,692
0
0
0
0
10,692
Annual IC Time Burden (Hours)
8,910
0
891
0
0
8,019
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.