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Measuring Self- and Co-Regulation in Sexual Risk Avoidance Education Programs Phase 1
Pre-testing of Evaluation Data Collection Activities
OMB: 0970-0355
IC ID: 258636
OMB.report
HHS/ACF
OMB 0970-0355
ICR 202403-0970-004
IC 258636
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:
2024-08-26 - Revision of a currently approved collection
2024-03-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1-Youth-Self Assessment Version A.docx
Other-Survey
Instrument 1-Youth-Self Assessment Version A.docx
Other-Survey
Instrument 2-Youth Self-Assessment Version B.docx
Other-Survey
Instrument 2-Youth Self-Assessment Version B.docx
Other-Survey
Self-reg Measure Pretest SSA 02.21.2023 Final.docx
Supporting Statement A
IC Document
Self-reg Measure Pretest SSA 02.21.2023 Final.docx
Supporting Statement A
IC Document
Self-reg Measure Pretest SSB 02.21.2023 Final.docx
Supporting Statement B
IC Document
Self-reg Measure Pretest SSB 02.21.2023 Final.docx
Supporting Statement B
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Measuring Self- and Co-Regulation in Sexual Risk Avoidance Education Programs Phase 1
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Instrument 1-Youth-Self Assessment Version A.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 2-Youth Self-Assessment Version B.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
900
0
0
0
0
900
Annual IC Time Burden (Hours)
153
0
0
0
0
153
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
Self-reg Measure Pretest SSA 02.21.2023 Final.docx
02/21/2023
Supporting Statement B
Self-reg Measure Pretest SSB 02.21.2023 Final.docx
02/21/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.