School Indicators

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

Documents and Forms

Document Name Document Type
Form 4 School Indicators Form and Instruction
4 Attachment G: School Indicators Atmt G Parent Outcome Survey School Indicators.docx Form and Instruction

Information Collection (IC) Details

IC Title:	School Indicators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	4	Attachment G: School Indicators	Atmt G Parent Outcome Survey School Indicators.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-15,048	15,048
Annual IC Time Burden (Hours)	-3,762	3,762
Annual IC Cost Burden (Dollars)	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.