OMB
.report
Search
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
OMB.report
HHS/ACF
OMB 0970-0355
ICR 202601-0970-012
IC 270331
( )
Documents and Forms
Document Name
Document Type
Instrument 1_Participant demographic survey_rev.docx
Other-Survey
Instrument 2. Cognitive Interview Protocol.docx
Other-Interview Protocol
Instrument 3. Youth Self-Assessment Survey.docx
Other-Survey
Instrument 1_Participant demographic survey_rev 02.03.2025.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_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 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
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:
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_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
Other-Survey
Instrument 1_Participant demographic survey_rev 02.03.2025.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 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
910
0
0
0
0
910
Annual IC Time Burden (Hours)
1,183
0
0
0
0
1,183
Annual IC Cost Burden (Dollars)
0
0
0
0
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.