OMB control number

Evaluation of the Safe Dates Project

OMB 0920-0783 · HHS/CDC.

OMB 0920-0783

Latest forms, documents, and information collections
Document	Type
Supporting Statement B - CLEAN.docx	Supporting Statement B
Attachment K - Public Comment.docx	Supplementary Document
Attachment G - Statement of Agreement.docx	Supplementary Document
Attachment C - IRB Approval Notice.pdf	Supplementary Document
Attachment C__IRB_Request_for_Exemption_approval_2_12_10_2.pdf	Supplementary Document
Attachment B - Published 60-Day FRN.pdf	Supplementary Document
Attachment A Authorizing Legislation.doc	Supplementary Document
Attachment D - Student Privacy Pledge.doc	Supplementary Document
Attachment H - Parent Brochure.docx	Supplementary Document
Attachment I - Safe Dates Student Assent.docx	Supplementary Document
Attachment E - Lead Letter to Parents.docx	Supplementary Document
Supporting Statement A - CLEAN 12-14-10.docx	Supporting Statement A
Student Focus Group Guide	Other-Word
Teacher Interview Guide	Other-WORD
Student Effectivness Follow-up Survey	Other-WORD
Follow-Up Prevention Coordinator Survey	Other-WORD
Teacher 5th and 9th Session Mid-Implementation Survey	Other-WORD
Student Effectiveness Baseline Survey	Other-WORD
1st and 2nd Student Mid-Implementation Survey	Other-WORD
Principal and Prevention Coordinator End-of-Year Implementation Survey	Other-ORD
Teacher Cost Survey	Other-WORD
Principle and Prevention Coordinator Mid-Implementation Survey	Other-WORD
Principle, Prevention Coordinator and Teacher Baseline Survey	Other-WORD

Historical document collections
Reference	Filing	Received	Concluded	Action
201010-0920-005	Revision of a currently approved collection	2010-10-15		Approved with change
200801-0920-002	New collection (Request for a new OMB Control Number)	2008-01-03		Approved with change