View Information Collection (IC)

View Information Collection (IC)

DASH DEMO: Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Professional Development (PD) Pilot Study 0920-0840-22FM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0840 #1 Webinar- Adolescent Growth and Development Att 2_Adolescent Growth and Development survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 #2 Webinar- Assess and Adjust: Att 3_Assess and Adjust survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 #3 E-learning module survey- Basic Principles of Teaching Health Education Att 4_Basic Principles of Teaching HE_elearning survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 #2 E-learning module survey- Culturally Responsive Health Education Classroom Att 5_Culturally Responsive survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 In-person training evaluation Att 6_In-person training survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 Micro Session Survey Att 7_Micro session survey.pdf Yes Yes Fillable Fileable
Form 0920-0840 #1 E-learning module survey- Trauma informed approach Att 8_TIA elearning module survey.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-0840 Teacher Survey Att 9_Teacher Survey.pdf Yes Yes Fillable Fileable
Form and Instruction 0920-0840 Student Survey Att 10_Student Survey.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

975 0
   
Individuals or Households
 
   100 %

  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 975 0 975 0 0 0
Annual IC Time Burden (Hours) 287 0 287 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation Att 1_Auth Legislation.docx 05/13/2022
#1 Webinar- Adolescent Growth and Development (screenshot) Att 2a_Adolescent Growth and Development_screenshot.pdf 05/13/2022
#2 Webinar- Assess and Adjust (screenshots) Att 3a_Assess and Adjust_screenshot.pdf 05/13/2022
#3 E-learning module survey- Basic Principles of Teaching Health Education (screenshots) Att 4a_ Basic Principles of Teaching Health Education_screenshots.pdf 05/13/2022
#2 E-learning module survey- Culturally Responsive Health Education Classroom Att 5a_Culturally Responsive Health Education Classroom_screenshot.pdf 05/13/2022
In-person training evaluation (screenshots) Att 6a_In-Person Training Evaluation_screenshot.pdf 05/13/2022
Micro Session Survey Att 7a_CHECKS_Micro Session Survey_screenshot.pdf 05/13/2022
E-Learning Trauma Informed Approach (screenshots) Att 8a_E-Learning Trauma Informed Approach_screenshot.pdf 05/13/2022
Teacher Survey (screenshots) Att 9a_Teacher tool_screenshots.pdf 05/13/2022
Student Survey (screenshots Att 10a_Student Tool_screenshots.pdf 05/13/2022
Invitation Letter for Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Study Att 11_CHECKS PD_Invitation Email.pdf 05/13/2022
Reminder- Invitation Letter for Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Study Att 11a_CHECKS PD_Pilot_Reminder Email.pdf 05/13/2022
CHECKS TRAINING STUDY- TEACHER CONSENT Att 12_CHECKS PD Pilot_Teacher Consent.pdf 05/13/2022
CHECKS STUDY- STUDENT ASSENT FORM Att 13_CHECKS PD Student Assent.pdf 05/13/2022
CHECKS STUDY- STUDENT ASSENT FORM Att 14_CHECKS PD_Parental Consent Form.pdf 05/13/2022
ICF IRB Approval Att 15_ICF IRB Approval.pdf 05/13/2022
Notification of IRB Determination for CHECKS PD Pilot Study (email) Att 15a_Notification of IRB Determination for CHECKS PD Pilot Study.pdf 05/13/2022
Respondent Universe Att 16_Respondent Universe.docx 05/13/2022
CHECK PD Pilot_Consultants Att 17_CHECKS PD Pilot_Consultants.docx 05/13/2022
PIA Att 18_CHECKS_PIA.pdf 05/13/2022
60dy published FRN Att 19_60 Day FRN Published 2-12-2021.pdf 05/13/2022
NCHHSTP Project Determination Att 21_NCHHSTP Project Determination_CHECKS PD Pilot Study.docx 05/13/2022
Supporting Statement A SSA-CHECKs PD Pilot Study_03.21.22.docx 05/13/2022
Supporting Statement B SSB-CHECKs PD Pilot Study_03.21.22.docx 05/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.