Information Collection

Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard)

IC 201414 under ICR 201309-0920-005 · OMB 0920-0941.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0941 can be found here:

Documents and Forms

Document Name Document Type
Form DDD Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard) Form and Instruction
DDD Student Program Fidelity 8th Grade Session 2 Atmt DDD SafeDatesStandardSession2.docx Form and Instruction
EEE Student Program Fidelity 8th Grade Session 3 Atmt EEE SafeDatesStandardSession3.docx Form and Instruction
CCC Student Program Fidelity 8th Grade Session 1 (Standard) Atmt CCC SafeDatesStandardSession1.docx Form and Instruction
FFF Student Program Fidelity 8th Grade Session 4 Atmt FFF SafeDatesStandardSession4.docx Form and Instruction
GGG Student Program Fidelity 8th Grade Session 5 Atmt GGG SafeStandardCompSession5.docx Form and Instruction
HHH Student Program Fidelity 8th Grade Session 6 Atmt HHH SafeDatesStandardSession6.docx Form and Instruction
III Student Program Fidelity 8th Grade Session 7 Atmt III SafeDatesStandardSession7.docx Form and Instruction
KKK Student Program Fidelity 8th Grade Session 9 Atmt KKK SafeDatesStandardSession9.docx Form and Instruction
JJJ Student Program Fidelity 8th Grade Session 8 Atmt JJJ SafeDatesStandardSession8.docx Form and Instruction
LLL Student Program Fidelity 8th Grade Session 10 Atmt LLL SafeDatesStandardSession10.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard)	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DDD	Student Program Fidelity 8th Grade Session 2	Atmt DDD SafeDatesStandardSession2.docx	No	No	Paper Only
Form and Instruction	EEE	Student Program Fidelity 8th Grade Session 3	Atmt EEE SafeDatesStandardSession3.docx	No	No	Paper Only
Form and Instruction	CCC	Student Program Fidelity 8th Grade Session 1 (Standard)	Atmt CCC SafeDatesStandardSession1.docx	No	No	Paper Only
Form and Instruction	FFF	Student Program Fidelity 8th Grade Session 4	Atmt FFF SafeDatesStandardSession4.docx	No	No	Paper Only
Form and Instruction	GGG	Student Program Fidelity 8th Grade Session 5	Atmt GGG SafeStandardCompSession5.docx	No	No	Paper Only
Form and Instruction	HHH	Student Program Fidelity 8th Grade Session 6	Atmt HHH SafeDatesStandardSession6.docx	No	No	Paper Only
Form and Instruction	III	Student Program Fidelity 8th Grade Session 7	Atmt III SafeDatesStandardSession7.docx	No	No	Paper Only
Form and Instruction	KKK	Student Program Fidelity 8th Grade Session 9	Atmt KKK SafeDatesStandardSession9.docx	No	No	Paper Only
Form and Instruction	JJJ	Student Program Fidelity 8th Grade Session 8	Atmt JJJ SafeDatesStandardSession8.docx	No	No	Paper Only
Form and Instruction	LLL	Student Program Fidelity 8th Grade Session 10	Atmt LLL SafeDatesStandardSession10.docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	200	200
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.