Information Collection

Student Program Fidelity 8th Grade Sessions 1 - 10

IC 201408 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HH Student Program Fidelity 8th Grade Sessions 1 - 10	Form and Instruction
HH Student Program Fidelity 8th Grade Session 1 Atmt HH SafeDatesCompSession1.docx	Form and Instruction
II Student Program Fidelity 8th Grade Session 2 Atmt II SafeDatesCompSession2.docx	Form and Instruction
JJ Student Program Fidelity 8th Grade Session 3 Atmt JJ SafeDatesCompSession3.docx	Form and Instruction
KK Student Program Fidelity 8th Grade Session 4 Atmt KK SafeDatesCompSession4.docx	Form and Instruction
LL Student Program Fidelity 8th Grade Session 5 Atmt LL SafeDatesCompSession5.docx	Form and Instruction
MM Student Program Fidelity 8th Grade Session 6 Atmt MM SafeDatesCompSession6.docx	Form and Instruction
NN Student Program Fidelity 8th Grade Session 7 Atmt NN SafeDatesCompSession7.docx	Form and Instruction
OO Student Program Fidelity 8th Grade Session 8 Atmt OO SafeDatesCompSession8.docx	Form and Instruction
PP Student Program Fidelity 8th Grade Session 9 Atmt PP SafeDatesCompSession9.docx	Form and Instruction
QQ Student Program Fidelity 8th Grade Session 10 Atmt QQ SafeDatesCompSession10.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	HH	Student Program Fidelity 8th Grade Session 1	Atmt HH SafeDatesCompSession1.docx	No	No	Paper Only
Form and Instruction	II	Student Program Fidelity 8th Grade Session 2	Atmt II SafeDatesCompSession2.docx	No	No	Paper Only
Form and Instruction	JJ	Student Program Fidelity 8th Grade Session 3	Atmt JJ SafeDatesCompSession3.docx	No	No	Paper Only
Form and Instruction	KK	Student Program Fidelity 8th Grade Session 4	Atmt KK SafeDatesCompSession4.docx	No	No	Paper Only
Form and Instruction	LL	Student Program Fidelity 8th Grade Session 5	Atmt LL SafeDatesCompSession5.docx	No	No	Paper Only
Form and Instruction	MM	Student Program Fidelity 8th Grade Session 6	Atmt MM SafeDatesCompSession6.docx	No	No	Paper Only
Form and Instruction	NN	Student Program Fidelity 8th Grade Session 7	Atmt NN SafeDatesCompSession7.docx	No	No	Paper Only
Form and Instruction	OO	Student Program Fidelity 8th Grade Session 8	Atmt OO SafeDatesCompSession8.docx	No	No	Paper Only
Form and Instruction	PP	Student Program Fidelity 8th Grade Session 9	Atmt PP SafeDatesCompSession9.docx	No	No	Paper Only
Form and Instruction	QQ	Student Program Fidelity 8th Grade Session 10	Atmt QQ SafeDatesCompSession10.docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-800	800
Annual IC Time Burden (Hours)	-200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.