OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

DC Public Schools Student Perspectives on Access to Recommended Adolescent Preventive Health Services

IC 232663 under ICR 201808-0920-005 · OMB 0920-1235.

Documents and Forms
Document Name
Document Type
Other-Focus Group Guide
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

DC Public Schools Student Perspectives on Access to Recommended Adolescent Preventive Health Services 092-1235-18AVA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Focus Group Guide Att 3_Student Focus Group Guide.docx Yes No Paper Only

Health Health Care Services

 

90 0
   
Individuals or Households
 
   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 90 0 90 0 0 0
Annual IC Time Burden (Hours) 135 0 135 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supoprting Statement A SSA_DCPS_FG.docx 08/13/2018
Supporting Statement B SSB_DCPS_FG.docx 08/13/2018
IRB Approval Att 4_IRB Approval Documentation.PDF 08/13/2018
Parental Consent for Minor Att 5_ Parental Consent Form.docx 08/13/2018
Adult Student Consent Att 6_ Adult Student Consent Form.docx 08/13/2018
Youth Student Consent Att 7_Youth Student Consent Form.docx 08/13/2018
Student Verbal Assent Att 8_Student Verbal Assent.docx 08/13/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.