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Adolescent Session Evaluation Form (10 forms)
The National Bone Health Campaign Pilot Site Project
OMB: 0990-0337
IC ID: 188218
OMB.report
HHS/HHSDM
OMB 0990-0337
ICR 200903-0990-001
IC 188218
( )
Documents and Forms
Document Name
Document Type
0990-BodyWorks_pretest 1 29 09_parent.pdf
Other-questionnaire
0990-BodyWorks_posttest 1 29 09_parent.pdf
Other-questionnaire
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf
Other-Evalution Form
0990-Girls BodyWorks Evaluations_Sessions 1-10_012909.pdf
Other-questionnaire
0990-Parent BodyWorks Sessions Fideility Forms_1 29 09.pdf
Other-survey
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf
Other-survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adolescent Session Evaluation Form (10 forms)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-questionnaire
0990-BodyWorks_pretest 1 29 09_parent.pdf
Yes
Yes
Fillable Printable
Other-questionnaire
0990-BodyWorks_posttest 1 29 09_parent.pdf
Yes
Yes
Fillable Printable
Other-Evalution Form
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf
Yes
Yes
Fillable Fileable
Other-questionnaire
0990-Girls BodyWorks Evaluations_Sessions 1-10_012909.pdf
Yes
Yes
Fillable Printable
Other-survey
0990-Parent BodyWorks Sessions Fideility Forms_1 29 09.pdf
Yes
Yes
Fillable Printable
Other-survey
0990-Parent BodyWorks Sessions 1 to 10 Evaluation Forms_012909.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
204
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,040
0
2,040
0
0
0
Annual IC Time Burden (Hours)
102
0
102
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.