OMB
.report
Search
Student Program Fidelity 7th Grade Sessions 1 - 7
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
OMB: 0920-0941
IC ID: 201407
OMB.report
HHS/CDC
OMB 0920-0941
ICR 201406-0920-012
IC 201407
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Form AA
Student Program Fidelity 7th Grade Sessions 1 - 7
Form and Instruction
AA Student Program Fidelity 7th Grade Session 1
Atmt AA StudentProgram 7th Grade Session 1.docx
Form and Instruction
BB Student Program Fidelity 7th Grade Session 2
Atmt BB StudentProgram 7th Grade Session 2.docx
Form and Instruction
CC Student Program Fidelity 7th Grade Session 3
Atmt CC Student Program 7th Grade Session 3.docx
Form and Instruction
DD Student Program Fidelity 7th Grade Session 4
Atmt DD StudentProgram 7th Grade Session 4.docx
Form and Instruction
EE Student Program Fidelity 7th Grade Session 5
Atmt EE StudentProgram 7th Grade Session 5.docx
Form and Instruction
FF Student Program Fidelity 7th Grade Session 6
Atmt FF StudentProgram 7th Grade Session 6.docx
Form and Instruction
GG Student Program Fidelity 7th Grade Session 7
Atmt GG StudentProgram 7th Grade Session 7.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Program Fidelity 7th Grade Sessions 1 - 7
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
AA
Student Program Fidelity 7th Grade Session 1
Atmt AA StudentProgram 7th Grade Session 1.docx
No
No
Paper Only
Form and Instruction
BB
Student Program Fidelity 7th Grade Session 2
Atmt BB StudentProgram 7th Grade Session 2.docx
No
No
Paper Only
Form and Instruction
CC
Student Program Fidelity 7th Grade Session 3
Atmt CC Student Program 7th Grade Session 3.docx
No
No
Paper Only
Form and Instruction
DD
Student Program Fidelity 7th Grade Session 4
Atmt DD StudentProgram 7th Grade Session 4.docx
No
No
Paper Only
Form and Instruction
EE
Student Program Fidelity 7th Grade Session 5
Atmt EE StudentProgram 7th Grade Session 5.docx
No
No
Paper Only
Form and Instruction
FF
Student Program Fidelity 7th Grade Session 6
Atmt FF StudentProgram 7th Grade Session 6.docx
No
No
Paper Only
Form and Instruction
GG
Student Program Fidelity 7th Grade Session 7
Atmt GG StudentProgram 7th Grade Session 7.docx
No
No
Paper Only
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:
560
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
560
0
0
0
0
560
Annual IC Time Burden (Hours)
140
0
0
0
0
140
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.