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Student Curricula Implementer Focus Group Guide
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
OMB: 0920-0941
IC ID: 201412
OMB.report
HHS/CDC
OMB 0920-0941
ICR 201512-0920-010
IC 201412
( )
Documents and Forms
Document Name
Document Type
Atmt AAA Student Curricula Implementer Focus Group Guide_10-31-11.docx
Other-Focus Group Guide
OOO Student Curricula Implementer Consent Form For Focus Gro
Atmt OOO Student curricula implementer consent for focus group participation_10-25-11.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Curricula Implementer Focus Group Guide
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
Other-Focus Group Guide
Atmt AAA Student Curricula Implementer Focus Group Guide_10-31-11.docx
No
No
Paper Only
Form and Instruction
OOO
Student Curricula Implementer Consent Form For Focus Group Participation
Atmt OOO Student curricula implementer consent for focus group participation_10-25-11.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:
80
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
-80
0
0
80
Annual IC Time Burden (Hours)
0
0
-80
0
0
80
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.