Information Collection

Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard)

IC 201414 under ICR 201512-0920-010 · OMB 0920-0941.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DDD Student Program Fidelity 8th Grade Sessions 1 - 10 (Standard)	Form and Instruction
DDD Student Program Fidelity 8th Grade Session 2 Atmt DDD SafeDatesStandardSession2.docx	Form and Instruction
EEE Student Program Fidelity 8th Grade Session 3 Atmt EEE SafeDatesStandardSession3.docx	Form and Instruction
CCC Student Program Fidelity 8th Grade Session 1 (Standard) Atmt CCC SafeDatesStandardSession1.docx	Form and Instruction
FFF Student Program Fidelity 8th Grade Session 4 Atmt FFF SafeDatesStandardSession4.docx	Form and Instruction
GGG Student Program Fidelity 8th Grade Session 5 Atmt GGG SafeStandardCompSession5.docx	Form and Instruction
HHH Student Program Fidelity 8th Grade Session 6 Atmt HHH SafeDatesStandardSession6.docx	Form and Instruction
III Student Program Fidelity 8th Grade Session 7 Atmt III SafeDatesStandardSession7.docx	Form and Instruction
KKK Student Program Fidelity 8th Grade Session 9 Atmt KKK SafeDatesStandardSession9.docx	Form and Instruction
JJJ Student Program Fidelity 8th Grade Session 8 Atmt JJJ SafeDatesStandardSession8.docx	Form and Instruction
LLL Student Program Fidelity 8th Grade Session 10 Atmt LLL SafeDatesStandardSession10.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	DDD	Student Program Fidelity 8th Grade Session 2	Atmt DDD SafeDatesStandardSession2.docx	No	No	Paper Only
Form and Instruction	EEE	Student Program Fidelity 8th Grade Session 3	Atmt EEE SafeDatesStandardSession3.docx	No	No	Paper Only
Form and Instruction	CCC	Student Program Fidelity 8th Grade Session 1 (Standard)	Atmt CCC SafeDatesStandardSession1.docx	No	No	Paper Only
Form and Instruction	FFF	Student Program Fidelity 8th Grade Session 4	Atmt FFF SafeDatesStandardSession4.docx	No	No	Paper Only
Form and Instruction	GGG	Student Program Fidelity 8th Grade Session 5	Atmt GGG SafeStandardCompSession5.docx	No	No	Paper Only
Form and Instruction	HHH	Student Program Fidelity 8th Grade Session 6	Atmt HHH SafeDatesStandardSession6.docx	No	No	Paper Only
Form and Instruction	III	Student Program Fidelity 8th Grade Session 7	Atmt III SafeDatesStandardSession7.docx	No	No	Paper Only
Form and Instruction	KKK	Student Program Fidelity 8th Grade Session 9	Atmt KKK SafeDatesStandardSession9.docx	No	No	Paper Only
Form and Instruction	JJJ	Student Program Fidelity 8th Grade Session 8	Atmt JJJ SafeDatesStandardSession8.docx	No	No	Paper Only
Form and Instruction	LLL	Student Program Fidelity 8th Grade Session 10	Atmt LLL SafeDatesStandardSession10.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.