ICR Documents

Document Date Uploaded
Healthy Schools - SSA (EO revised, clean) 2025.04.21.docx 05/13/2025

Document Date Uploaded
Healthy Schools - SSB.docx 08/22/2024

Title Document Document Type Date Uploaded
Authorizing Legislation Attachment 01 - Authorizing Legislation - Public Health Service Act.pdf Supplementary Document 08/22/2024
Authorizing Legislation Attachment 02 - Authorizing Legislation - Evidence-Based Policymaking Act 2018.pdf Supplementary Document 08/22/2024
Monthly Reporting Form Email Notification Attachment 04 - Monthly Reporting Form Email Notification.docx Supplementary Document 08/22/2024
Monthly Indicator Report Qualtrics Screenshots Attachment 05 - Monthly Indicator Report Qualtrics Screenshots (EO revised) 2025.05.02.docx Supplementary Document 05/13/2025
LEA Interview Invitation Email Attachment 08 - Interview Invitation Email.docx Supplementary Document 08/22/2024
Screenshots of Healthy Student Questionnaire Attachment 12 - Screenshots of Healthy Student Questionnaire (final) 6.14.24.docx Supplementary Document 08/22/2024
Healthy School Questionnaire Screenshot Attachment 10 - Screenshots of Healthy Schools Questionnaire (final) 6.14.24.docx Supplementary Document 08/22/2024
60 Day FRN Attachment 13 - Published 60 day FRN Healthy Schools.pdf Supplementary Document 08/22/2024
Interview Consent Forms Attachment 15 - Interview Consent Forms.docx Supplementary Document 08/22/2024
Healthy Students Questionnaire Parent Consent Forms Attachment 17 - Healthy Students Questionnaire Parent Consent Forms.docx Supplementary Document 08/22/2024
Healthy Schools Questionnaire Consent Form Attachment 16 - Healthy Schools Questionnaire Consent Form (final) 6.14.24.docx Supplementary Document 08/22/2024
Healthy Student Questionnaire 18+ Consent Form Attachment 18 - Healthy Student Questionnaire 18+ Consent Form (final) 6.14.24.docx Supplementary Document 08/22/2024
Healthy Student Questionnaire Student Assent Form Attachment 19 - Healthy Student Questionnaire Student Assent Form (final) 6.14.24.docx Supplementary Document 08/22/2024
IRB Attachment 20 - 2302 Healthy Schools IRB determination letter 06-05-24.pdf Supplementary Document 08/22/2024
30 Day FRN FRN 30 Day Text - 2302 Healthy Schools Evaluation (003).docx Supplementary Document 08/22/2024
Healthy Student Questionnaire updated w Race Ethnicity Q Attachment 11 - Healthy Student Questionnaire updated w Race Ethnicity Q 10.31.24.docx Supplementary Document 01/04/2025
Screenshots of Healthy Student Questionnaire_updated w Race Ethnicity Q Attachment 12 - Screenshots of Healthy Student Questionnaire_updated w Race Ethnicity Q 10.31.24 (1) (002).docx Supplementary Document 01/04/2025
Change Request Justification Change Request Memo - DASH DP-23-0002 (Clean) 2025.05.02 V4.1.docx Justification for No Material/Nonsubstantive Change 05/13/2025

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