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Parent Program Fidelity 7th Grade Sessions 1, 3, 5
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
OMB: 0920-0941
IC ID: 201405
OMB.report
HHS/CDC
OMB 0920-0941
ICR 201512-0920-010
IC 201405
( )
Documents and Forms
Document Name
Document Type
Form T
Parent Program Fidelity 7th Grade Sessions 1, 3, 5
Form
T Parent Program Fidelity 7th Grade Session 5
Atmt T Parent Program 7th Grade Session 5.docx
Form
R Parent Program Fidelity 7th Grade Session 1
Atmt R Parent Program 7th Grade Session 1.docx
Form
S Parent Program Fidelity 7th Grade Session 3
Atmt S Parent Program 7th Grade Session 3.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent Program Fidelity 7th Grade Sessions 1, 3, 5
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
T
Parent Program Fidelity 7th Grade Session 5
Atmt T Parent Program 7th Grade Session 5.docx
No
No
Paper Only
Form
R
Parent Program Fidelity 7th Grade Session 1
Atmt R Parent Program 7th Grade Session 1.docx
No
No
Paper Only
Form
S
Parent Program Fidelity 7th Grade Session 3
Atmt S Parent Program 7th Grade Session 3.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:
126
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
0
0
-378
0
0
378
Annual IC Time Burden (Hours)
0
0
-95
0
0
95
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.