Student Outcome Survey Follow-up - High School

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

⚠️ Notice: This information collection may be referencing outdated material.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
Student Outcome Survey Follow-up - High School Form
Attachment E 1 - Screenshots.docx Other-Screenshots
Student Outcome Survey Atmt_E_Student_Outcome_Survey_HIGH SCHOOL Follow-Up_9.4.13 final.doc Form
Change Request Memo_6022014_final.doc Change Request Memo-Student Followup Survey Screenshots IC Document

Information Collection (IC) Details

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
Other-Screenshots			Attachment E 1 - Screenshots.docx		Yes	Yes	Fillable Printable

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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10,692	10,692
Annual IC Time Burden (Hours)	8,910	8,910
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Change Request Memo-Student Followup Survey Screenshots	Change Request Memo_6022014_final.doc	06/17/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.