Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS)-Pre-Test

Pre-testing of Evaluation Data Collection Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

Documents and Forms

Document Name Document Type
Instrument 1.Parent Pretest Protocol_Survey and Debrief Topic Guide_Augu....docx Other-null
Instrument 2. Part 1 Youth Pretest Protocol_Survey and Debrief Topic Gu....docx Other-null
Instrument 3. Part 2 Youth Pretest Protocol_Survey and Debrief Topic Gu....docx Other-null
Instrument 4. Young Adult Pretest Protocol_Survey and Debrief Topic Gui....docx Other-null
Supporting Statement A - Template for OPRE Pilot with OIRA_final clean.A....docx SSA - Pretesting Generic IDEAS IC Document
Supporting Statement B - Template for OPRE Pilot with OIRA_IDEAS Pretest.7.2.19.docx SSB - Pretesting Generic IDEAS IC Document
Attachment A - Sources Used in the Development of the Parent and Youth Surveys.pdf Attachment A - Sources Used in the Development of the Parent and Youth Surveys IC Document
Attachment B - Consent and Assent Forms_revised 7.22.19 - August 2019_cl....docx Attachment B - Consent and Assent Forms IC Document

Information Collection (IC) Details

IC Title:	Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS)-Pre-Test	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-null	Instrument 2. Part 1 Youth Pretest Protocol_Survey and Debrief Topic Gu....docx	No	Paper Only
Other-null	Instrument 3. Part 2 Youth Pretest Protocol_Survey and Debrief Topic Gu....docx	No	Paper Only
Other-null	Instrument 4. Young Adult Pretest Protocol_Survey and Debrief Topic Gui....docx	No	Paper Only
Other-null	Instrument 1.Parent Pretest Protocol_Survey and Debrief Topic Guide_Augu....docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 144	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	144	144
Annual IC Time Burden (Hours)	252	252
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Pretesting Generic IDEAS	Supporting Statement A - Template for OPRE Pilot with OIRA_final clean.A....docx	08/07/2019
SSB - Pretesting Generic IDEAS	Supporting Statement B - Template for OPRE Pilot with OIRA_IDEAS Pretest.7.2.19.docx	07/09/2019
Attachment A - Sources Used in the Development of the Parent and Youth Surveys	Attachment A - Sources Used in the Development of the Parent and Youth Surveys.pdf	07/09/2019
Attachment B - Consent and Assent Forms	Attachment B - Consent and Assent Forms_revised 7.22.19 - August 2019_cl....docx	08/07/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.