Student Program Fidelity 6th Grade Sessions 1 - 6

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

Documents and Forms

Document Name Document Type
Form V Student Program Fidelity 6th Grade Sessions 1 - 6 Form and Instruction
V Student Program Fidelity 6th Grade Session 2 Atmt V StudentProgram6thGrade_Session2.docx Form and Instruction
U Student Program Fidelity 6th Grade Session 1 Atmt U StudentProgram6thGrade_Session1.docx Form and Instruction
W Student Program Fidelity 6th Grade Session 3 Atmt W StudentProgram6thGrade_Session3.docx Form and Instruction
X Student Program Fidelity 6th Grade Session 4 Atmt X StudentProgram6thGrade_Session4.docx Form and Instruction
Y Student Program Fidelity 6th Grade Session 5 Atmt Y StudentProgram6thGrade_Session5.docx Form and Instruction
Z Student Program Fidelity 6th Grade Session 6 Atmt Z StudentProgram6thGrade_Session6.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Student Program Fidelity 6th Grade Sessions 1 - 6	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	V	Student Program Fidelity 6th Grade Session 2	Atmt V StudentProgram6thGrade_Session2.docx	No	No	Paper Only
Form and Instruction	U	Student Program Fidelity 6th Grade Session 1	Atmt U StudentProgram6thGrade_Session1.docx	No	No	Paper Only
Form and Instruction	W	Student Program Fidelity 6th Grade Session 3	Atmt W StudentProgram6thGrade_Session3.docx	No	No	Paper Only
Form and Instruction	X	Student Program Fidelity 6th Grade Session 4	Atmt X StudentProgram6thGrade_Session4.docx	No	No	Paper Only
Form and Instruction	Y	Student Program Fidelity 6th Grade Session 5	Atmt Y StudentProgram6thGrade_Session5.docx	No	No	Paper Only
Form and Instruction	Z	Student Program Fidelity 6th Grade Session 6	Atmt Z StudentProgram6thGrade_Session6.docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	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	-480	480
Annual IC Time Burden (Hours)	-120	120
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.