Measuring Self- and Co-Regulation in Sexual Risk Avoidance Education Programs – Part 2

Pre-testing of ACF Data Collection Activities

OMB: 0970-0355

IC ID: 270331

Documents and Forms

Document Name Document Type
Instrument 1_Participant demographic survey_rev.docx Other-Survey
Instrument 1_Participant demographic survey_rev.docx Other-Survey
Instrument 2. Cognitive Interview Protocol.docx Other-Interview Protocol
Instrument 2. Cognitive Interview Protocol.docx Other-Interview Protocol
Instrument 3. Youth Self-Assessment Survey.docx Other-Survey
Instrument 3. Youth Self-Assessment Survey.docx Other-Survey
Pretesting Generic_0970-0355_SSA_Self and Co Reg SRAENE v3_8.5.24.docx SSA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document
Pretesting Generic_0970-0355_SSA_Self and Co Reg SRAENE v3_8.5.24.docx SSA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document
Pretesting Generic_0970-0355_SSB_Self and Co Reg SRAENE_8.5.24.docx SSB - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document
Pretesting Generic_0970-0355_SSB_Self and Co Reg SRAENE_8.5.24.docx SSB - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document
Appendix A_Pretest Phase 1 Outreach to participants.docx Appendix A_Pretest Phase 1 Outreach to participants IC Document
Appendix A_Pretest Phase 1 Outreach to participants.docx Appendix A_Pretest Phase 1 Outreach to participants IC Document
Appendix B_Participant consent.docx Appendix B_Participant consent IC Document
Appendix B_Participant consent.docx Appendix B_Participant consent IC Document
NOA_SRAENE2_PretestingGenIC_0970-0355_8.22.24.pdf NOA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document
NOA_SRAENE2_PretestingGenIC_0970-0355_8.22.24.pdf NOA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Measuring Self- and Co-Regulation in Sexual Risk Avoidance Education Programs – Part 2	Agency IC Tracking Number:	OPRE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Instrument 1_Participant demographic survey_rev.docx	Yes	Yes	Fillable Fileable
Other-Interview Protocol	Instrument 2. Cognitive Interview Protocol.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instrument 3. Youth Self-Assessment Survey.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: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	910	910
Annual IC Time Burden (Hours)	1,183	1,183
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2	Pretesting Generic_0970-0355_SSA_Self and Co Reg SRAENE v3_8.5.24.docx	08/22/2024
SSB - Measuring Self- and Co-Regulation in SRAE Programs – Part 2	Pretesting Generic_0970-0355_SSB_Self and Co Reg SRAENE_8.5.24.docx	08/22/2024
Appendix A_Pretest Phase 1 Outreach to participants	Appendix A_Pretest Phase 1 Outreach to participants.docx	08/22/2024
Appendix B_Participant consent	Appendix B_Participant consent.docx	08/22/2024
NOA - Measuring Self- and Co-Regulation in SRAE Programs – Part 2	NOA_SRAENE2_PretestingGenIC_0970-0355_8.22.24.pdf	08/22/2024

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