Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DASH COVID-19 Demonstration: Mental Health Formative Evaluation and Pilot Study New 1044 152 0 Form and Instruction 0920-0840 School Administrators - Key Informant Interview
Form and Instruction 0920-0840 District MTSS Team Members - Key Informant Interview
Form and Instruction 0920-0840 Middle/High School Students - Student Focus Groups
Form and Instruction 0920-0840 School MTS Team Members - School Implementation Checklist
Form and Instruction 0920-0840 District MTSS Team Members - District Implementation Checklist
Form and Instruction 0920-0840 School MTSS Team Members - MTSS School Level Focus Group
DASH COVID-19 School Connectedness Formative Evaluation - Pilot Study New 103 106 0 Form and Instruction 0920-22IF Att2 SC Demo_KII Interview Guide
Form and Instruction 0920-22IF Att3 SC Demo_Champion Focus Group Guide
Form and Instruction 0920-22IF Att4 SC Demo_Teacher Focus Group Guide
Form and Instruction 0920-22IF Att5 SC Demo_Student Focus Group Guide
DASH DEMO: Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Professional Development (PD) Pilot Study New 975 287 0 Form 0920-0840 #1 Webinar- Adolescent Growth and Development
Form 0920-0840 #2 Webinar- Assess and Adjust:
Form 0920-0840 #3 E-learning module survey- Basic Principles of Teaching Health Education
Form 0920-0840 #2 E-learning module survey- Culturally Responsive Health Education Classroom
Form 0920-0840 In-person training evaluation
Form 0920-0840 Micro Session Survey
Form 0920-0840 #1 E-learning module survey- Trauma informed approach
Form and Instruction 0920-0840 Teacher Survey
Form and Instruction 0920-0840 Student Survey
DASH DEMO: LGBTQ Inclusivity Toolkit Evaluation New 400 275 0 Form and Instruction 0920-0840 Pre-Post School Staff Survey Monkey
Form and Instruction 0920-0840 LGBTQ Inclusivity Toolkit Demonstration Project Monthly Report Form
Form and Instruction 0920-0840 LGBTQ Inclusivity Toolkit Demonstration Project Post-Pilot Feedback Interview Guide
Instruction
Form and Instruction 0920-0840 Pre=Post School Staff Survey
[NCHHSTP] DASH DEMO: LGBTQ Inclusivity Toolkit Evaluation 2022-2024 New 1353 313 0 Form and Instruction n/a Climate Interview Consent and Guide
Form and Instruction n/a School Staff Survey – Pre & Post Toolkit
Form and Instruction n/a Monthly Report Form
Form and Instruction n/a Post-Pilot Feedback Interview Guide
Instruction
Form and Instruction n/a School Staff Survey – Pre & Post Toolkit (Word)
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 3875 1133 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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