Information Collection

Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project

IC 254573 under ICR 202507-0970-008 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 1_Fidelity log.docx Other-Fidelity Log
Instrument 1_Fidelity log.docx Other-Fidelity Log
Instrument 2_Facilitator interview guide.docx Other-interview guide
Instrument 2_Facilitator interview guide.docx Other-interview guide
Instrument 3_Youth focus group guide.docx Other-Focus Group Guide
Instrument 3_Youth focus group guide.docx Other-Focus Group Guide
Generic SSA_CUY Pilots_rev_4.5_CLEAN.docx
SSA - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document
Generic SSA_CUY Pilots_rev_4.5_CLEAN.docx
SSA - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document
Generic_SSB_CUY_Pilots_rev_4.6_clean.docx
SSB - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document
Generic_SSB_CUY_Pilots_rev_4.6_clean.docx
SSB - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document
Appendix A_ Consent form for parents_4.5_Clean.docx
Appendix A: Consent form for parents of youth with IDD
IC Document
Appendix A_ Consent form for parents_4.5_Clean.docx
Appendix A: Consent form for parents of youth with IDD
IC Document
Appendix B_Consent form for youth over 18_4.6_clean.docx
Appendix B: Consent form for youth with IDD over 18
IC Document
Appendix B_Consent form for youth over 18_4.6_clean.docx
Appendix B: Consent form for youth with IDD over 18
IC Document
Appendix C_Assent form for youth_4.6_clean.docx
Appendix C: Assent form for youth with IDD participants
IC Document
Appendix C_Assent form for youth_4.6_clean.docx
Appendix C: Assent form for youth with IDD participants
IC Document
Appendix D_ Consent form for Lesson Facilitators_4.6_clean.docx
Appendix D: Consent for facilitators
IC Document
Appendix D_ Consent form for Lesson Facilitators_4.6_clean.docx
Appendix D: Consent for facilitators
IC Document
NOA_PREP PYP CUY Curriculum_Prog Supp GenIC_0970-0531_4.13.22.pdf
NOA - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document
NOA_PREP PYP CUY Curriculum_Prog Supp GenIC_0970-0531_4.13.22.pdf
NOA - Prog Supp GenIC: PREP PYP Curriculum Adaptation
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Fidelity Log Yes Yes Fillable Fileable
Other-interview guide Yes Yes Paper Only
Other-Focus Group Guide Yes Yes Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 204 0 0 0 0 204
Annual IC Time Burden (Hours) 120 0 0 0 0 120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - Prog Supp GenIC: PREP PYP Curriculum Adaptation 07/11/2022
SSB - Prog Supp GenIC: PREP PYP Curriculum Adaptation 07/11/2022
Appendix A: Consent form for parents of youth with IDD 07/11/2022
Appendix B: Consent form for youth with IDD over 18 07/11/2022
Appendix C: Assent form for youth with IDD participants 07/11/2022
Appendix D: Consent for facilitators 07/11/2022
NOA - Prog Supp GenIC: PREP PYP Curriculum Adaptation 07/11/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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