Information Collection

Student and Teacher Perspectives on Sexual Health Education in Fort Worth Independent School District

IC 219919 under ICR 201511-0920-001 · OMB 0920-0840.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0840 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-16ML Student and Teacher Perspectives on Sexual Health Education in Fort Worth Independent School District	Form and Instruction
Att 3-Supplemental Handout for Teacher Interviews.docx	Instruction
Att 9-Middle School Parental Consent Form.docx	Instruction
Att 10-High School Parental Consent Form.docx	Instruction
Att 11-Middle School Student Verbal Assent Language.docx	Instruction
Att 12-High School Student Verbal Assent Language.docx	Instruction
0920-16ML Att 2-Teacher Interview Guide Att 2-Teacher Interview Guide.docx	Form and Instruction
0920-16ML Att 4-Middle School Student Focus Group Guide Att 4-Middle School Student Focus Group Guide.docx	Form and Instruction
0920-16ML Att 5-High School Student Focus Group Guide Att 5-High School Student Focus Group Guide.docx	Form and Instruction
0920-16ML Att 8-Teacher Interview Consent Form Att 8-Teacher Interview Consent Form.docx	Form and Instruction
Att 1-PHS Act Legislation.pdf Att 1-PHS Act Legislation	IC Document
Att 7-IRB Approval.pdf Att 7-IRB Approval	IC Document
SSA.docx SSA	IC Document
SSB.docx SSB	IC Document

IC Title:

Student and Teacher Perspectives on Sexual Health Education in Fort Worth Independent School District

Agency IC Tracking Number:

16ML

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-16ML	Att 2-Teacher Interview Guide	Att 2-Teacher Interview Guide.docx	Yes	Yes	Fillable Printable
Instruction			Att 3-Supplemental Handout for Teacher Interviews.docx	Yes	Yes	Fillable Printable
Form and Instruction	0920-16ML	Att 4-Middle School Student Focus Group Guide	Att 4-Middle School Student Focus Group Guide.docx	Yes	Yes	Fillable Printable
Form and Instruction	0920-16ML	Att 5-High School Student Focus Group Guide	Att 5-High School Student Focus Group Guide.docx	Yes	Yes	Fillable Printable
Form and Instruction	0920-16ML	Att 8-Teacher Interview Consent Form	Att 8-Teacher Interview Consent Form.docx	Yes	Yes	Fillable Printable
Instruction			Att 9-Middle School Parental Consent Form.docx	Yes	No	Fillable Printable
Instruction			Att 10-High School Parental Consent Form.docx	Yes	No	Fillable Printable
Instruction			Att 11-Middle School Student Verbal Assent Language.docx	Yes	No	Fillable Printable
Instruction			Att 12-High School Student Verbal Assent Language.docx	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	126	126
Annual IC Time Burden (Hours)	174	174
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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