School Health Resources: Assessing Awareness, Satisfaction, and Utility

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

OMB: 0920-0879

IC ID: 223213

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Form and Instruction
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Information Collection (IC) Details

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School Health Resources: Assessing Awareness, Satisfaction, and Utility 0920-16BBP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A State Level Phone Interview Guide Attachment C - State Level Phone Interview Guide.docx No   Paper Only
Form and Instruction N/A Web-based Assessment Instrument Attachment B - Web-based Assessment Instrument_Web Version.pdf Yes Yes Fillable Fileable
Form and Instruction N/A District Level In-Person Interview Guide Attachment D - District Level In-Person Interview Guide.docx No   Paper Only

Health Consumer Health and Safety

 

127 0
   
State, Local, and Tribal Governments
 
   100 %

  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 127 0 127 0 0 0
Annual IC Time Burden (Hours) 77 0 77 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A TOOLS-SCH-SSA.docx 08/26/2016
Supporting Statement B TOOLS-SCH-SSB.docx 08/26/2016
Assessment Instrument (Word version) Attachment A - Web-based Assessment Instrument_Word Version.docx 08/26/2016
Logic Model Attachment E - Logic Model.pptx 08/26/2016
Invitation Email for Web-based Assessment Attachment F - Web-based Assessment Invitation Email.docx 08/26/2016
Reminder Email 1 for Web-based Assessment Attachment G - Web-based Assessment Reminder Email 1.docx 08/26/2016
Reminder Email 2 for Web-based Assessment Attachment H - Web-based Assessment Reminder Email 2.docx 08/26/2016
Invitation Email for State Level Phone Interview Attachment I - State Level Phone Interview Invitation Email.docx 08/26/2016
Reminder Email for State Level Phone Interview Attachment J - State Level Phone Interview Reminder Email.docx 08/26/2016
Reminder Phone Script for State Level Phone Interview Attachment K - State Level Phone Interview Reminder Phone Script.docx 08/26/2016
Fact Sheet About the Project Attachment L - One-Page Fact Sheet about the Project.docx 08/26/2016
Notification Email for District Level In-Person Interview Attachment M - District Level In-Person Interview Notification Email.docx 08/26/2016
Reminder Email for District Level In-Person Interview Attachment N - District Level In-Person Interview Reminder Email.docx 08/26/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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