OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

A Controlled Evaluation of Expect Respect Support Groups (ERSG): Preventing and Interrupting Teen Dating Violence among At-Risk Middle and High School Students

OMB 0920-0861 ยท HHS/CDC.

OMB 0920-0861

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
ERSG OMB SSB.docxSupporting Statement B
Att M - Public Comment.docx Supplementary Document
Att H - Expect Respect Safety Procedures and Mandatory Reporting Requirements 7.19.10.doc Supplementary Document
Att G - Student Assent Form and Parent Notification Form (v3).doc Supplementary Document
Att F - CDC IRB Approval.docx Supplementary Document
Att B - Published 60-Day FRN.pdf Supplementary Document
Att A - PHS Act Sec 301.pdf Supplementary Document
ERSG OMB SSA - 7-1-2013 - REVISED.docxSupporting Statement A
ERSG Facilitator End of Year Qualitative Interview Other-WORD
ERSG Facilitator Mid-Year Qualitative Interview Other-WORD
ERSG Observational Program Implementation Fidelity Measure Other-WORD
ERSG Facilitator Program Implementation Fidelity Measure Other-WORD
Teen Dating Violence Support Group Evaluation Survey (Baseline Survey) Other-WORD
Intake Assessment Screening Form for Expect Respect Support Groups (Intake Assessment) Other-WORD
Intervention and Control Schools (Follow-Up Survey) Other-WORD
Intervention and Control Schools (Completion Survey) Other-WORD

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201307-0920-008 Extension without change of a currently approved collection 2013-07-18 Approved without change
201209-0920-009 No material or nonsubstantive change to a currently approved collection 2012-09-27 Approved without change
201201-0920-007 No material or nonsubstantive change to a currently approved collection 2012-01-20 Disapproved and continue
201110-0920-005 No material or nonsubstantive change to a currently approved collection 2011-10-14 Approved without change
201104-0920-005 No material or nonsubstantive change to a currently approved collection 2011-04-12 Approved without change
201008-0920-004 New collection (Request for a new OMB Control Number) 2010-08-13 Approved without change