Student Outcome Survey Follow-up - High School

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

Documents and Forms

Document Name Document Type
Student Outcome Survey Follow-up - High School Form
Student Outcome Survey Follow-Up with High School Items Attachment D_Student_Survey_Clean.doc Form

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	NA	Student Outcome Survey Follow-Up with High School Items	Attachment D_Student_Survey_Clean.doc	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Subjects in Health Promotion and Education Studies and Education Studies	FR Citation: 51 FR 42484

Number of Respondents: 4,399	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,399	-6,293	10,692
Annual IC Time Burden (Hours)	3,299	-5,611	8,910
Annual IC Cost Burden (Dollars)	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.