Information Collection

Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy

IC 198095 under ICR 201209-1121-001 · OMB 1121-0333.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0333 can be found here:

Documents and Forms

Document Name Document Type
Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy Form and Instruction
Teen Dating Relationships: Opportunities for Youth to de OMBAppendicesNovember2011 (2).doc www.conceptsystemsglobal.com/TDVpilot/brainstorm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Teen Dating Relationships: Opportunities for Youth to Define What's healthy and unhealthy	Agency IC Tracking Number:	NIJ

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	none	Teen Dating Relationships: Opportunities for Youth to define what healthy and unhealthy	OMBAppendicesNovember2011 (2).doc	www.conceptsystemsglobal.com/TDVpilot/brainstorm	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 754	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 71 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	754	564	190
Annual IC Time Burden (Hours)	540	287	253
Annual IC Cost Burden (Dollars)	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.