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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title