Parent Outcome Baseline Survey

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

OMB: 0920-0941

IC ID: 201399

Information Collection (IC) Details

View Information Collection (IC)

Parent Outcome Baseline Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Parent/Guardian Survey Attachment H - Educator+Outcome+Survey.docx Yes No Paper Only

Health Health Care Services

 

1,919 0
   
Individuals or Households
 
   0 %

  Requested 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 1,919 0 0 0 0 1,919
Annual IC Time Burden (Hours) 1,919 0 0 0 0 1,919
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Atmt VV Parent Program Participant Consent Form Atmt VV Parent Program Participant Consent Form.docx 02/27/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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