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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Measurement Development: Healthy Marriage and Relationship Education Models and Measures
Agency IC Tracking Number:
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screener
Attachment O - 3M Cognitive Interview Screener for Complex Families_CLEAN.docx
No
Paper Only
Other-Interview Guide
Attachment B - 3M Cognitive Interview Guide for Parents in Complex Families_CLEAN.docx
No
Paper Only
Other-Screener
Attachment P - 3M Cognitive Interview Screener for High School Students_CLEAN.docx
No
Paper Only
Other-Interview Guide
Attachment D - 3M Cognitive Interview Guide for High School Aged Youth_CLEAN.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
36
0
0
0
0
36
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
3M OMB PACKET_Part A_CLEAN.docx
08/25/2014
Supporting Statement B
3M OMB Packet_Part B_CLEAN.docx
08/25/2014
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families CLEAN.docx
10/16/2014
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth CLEAN.docx
10/16/2014
Attachment E - 3M E-mail and Text Reminder
Attachment E - 3M E-mail and Text Reminder_CLEAN.docx
08/25/2014
Attachment F - 3M Consent form for Complex Families
Attachment F - 3M Consent Form for Complex Families Clean.docx
10/16/2014
Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth
Attachment G - 3M Consent for Minor Participation Form for Parents of High School Age Youth Clean.docx
10/16/2014
Attachment H - 3M Assent Form for Teens
Attachment H - 3M Assent Form for Teens clean.docx
10/16/2014
Attachment I - 3M Recruitment Adertisement for Complex Families
Attachment I - 3M Recruitment Adertisement for Complex Families_CLEAN.docx
08/25/2014
Attachment J - 3M Recruitment Advertisement for HS Age Youth
Attachment J - 3M Recruitment Advertisement for HS Age Youth_CLEAN.docx
08/25/2014
Attachment K - 3M Recruitment Flyer for Complex Families
Attachment K - 3M Recruitment Flyer for Complex Families_CLEAN.docx
08/25/2014
Attachment L - 3M Recruitment Flyer for Teens
Attachment L - 3M Recruitment Flyer for Teens_CLEAN.docx
08/25/2014
Attachment M - 3M Pledge of Confidentiality
Attachment M - 3M Pledge of Confidentiality_CLEAN.docx
08/25/2014
Attachment N - 3M Individiual Sign-Up Sheet
Attachment N - 3M Individiual Sign-Up Sheet_CLEAN.docx
08/25/2014
Attachment Q - 3M Script for Study Recruitment for Complex Families
Attachment Q - 3M Script for Study Recruitment for Complex Families_CLEAN.docx
08/25/2014
Attachment R - 3M Script for Study Recruitment for High School Aged Youth
Attachment R - 3M Script for Study Recruitment for High School Aged Youth_CLEAN.docx
08/25/2014
Attachment S - 3M Participant Eligibility Matrix for Complex Families
Attachment S - 3M Participant Eligibility Matrix for Complex Families_CLEAN.docx
08/25/2014
Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth
Attachment T - 3M Cognitive Interview Screener for High School Aged Youth Clean.docx
10/16/2014
Attachment U -3M Introduction to Study Letter for Complex Families
Attachment U -3M Introduction to Study Letter for Complex Families_CLEAN.docx
08/25/2014
Attachment V - 3M Introduction to Study Letter for High School Aged Youth
Attachment V - 3M Introduction to Study Letter for High School Aged Youth Clean.docx
10/16/2014
Attachment W - 3M Thank-you Letter for Complex Families
Attachment W - 3M Thank-you Letter for Complex Families_CLEAN.docx
08/25/2014
Attachment X - 3M Thank-you Letter for High School Age Youth
Attachment X - 3M Thank-you Letter for High School Age Youth_CLEAN.docx
08/25/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.