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Sexual Risk Avoidance Education National Evaluation: Formative Evaluation for the Program Components Impact Study
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 255626
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202310-0970-008
IC 255626
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:
2024-01-23 - No material or nonsubstantive change to a currently approved collection
2023-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Instr 1_Facilitator pre-training survey_for OMB.docx
Other-Survey
Instr 2_Facilitator post-training survey_for OMB.docx
Other-Survey
Instr 3_Facilitator end of semester survey.docx
Other-Survey
Instr 4_Facilitator interview guide_for OMB.docx
Other-Interview Protocol
Instr 5_Facilitator log_for OMB.docx
Other-Implementation Log
Instr 6_Youth focus group guide_for OMB.docx
Other-Focus Group Protocol
Supporting Statement A - CIS 08.25.22.docx
SSA - SRAENE CIS GenIC
IC Document
Supporting Statement B - CIS 08.24.2022.docx
SSB - SRAENE CIS GenIC
IC Document
Appendix A. Study Notification and Reminder Materials.docx
Appendix A: Study Notification and Reminder Materials
IC Document
Appendix B. Youth Focus Group Consent and Assent Forms.docx
Appendix B: Youth Focus Group Consent and Assent Forms
IC Document
Appendix C. SRAENE CIS Survey Crosswalk.docx
Appendix C: SRAENE CIS Surveys Crosswalk and Research Questions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sexual Risk Avoidance Education National Evaluation: Formative Evaluation for the Program Components Impact Study
Agency IC Tracking Number:
OPRE
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
Instr 1_Facilitator pre-training survey_for OMB.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instr 2_Facilitator post-training survey_for OMB.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instr 3_Facilitator end of semester survey.docx
Yes
Yes
Fillable Fileable
Other-Interview Protocol
Instr 4_Facilitator interview guide_for OMB.docx
Yes
Yes
Printable Only
Other-Implementation Log
Instr 5_Facilitator log_for OMB.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Protocol
Instr 6_Youth focus group guide_for OMB.docx
Yes
Yes
Printable Only
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:
216
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
3,275
0
0
0
0
3,275
Annual IC Time Burden (Hours)
410
0
0
0
0
410
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - SRAENE CIS GenIC
Supporting Statement A - CIS 08.25.22.docx
08/25/2022
SSB - SRAENE CIS GenIC
Supporting Statement B - CIS 08.24.2022.docx
08/25/2022
Appendix A: Study Notification and Reminder Materials
Appendix A. Study Notification and Reminder Materials.docx
08/25/2022
Appendix B: Youth Focus Group Consent and Assent Forms
Appendix B. Youth Focus Group Consent and Assent Forms.docx
08/25/2022
Appendix C: SRAENE CIS Surveys Crosswalk and Research Questions
Appendix C. SRAENE CIS Survey Crosswalk.docx
08/25/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.