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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 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form 0920-0840 Yes Yes Fillable Fileable
Form and Instruction 0920-0840 Yes Yes Fillable Fileable
Form and Instruction 0920-0840 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 05/13/2022
#1 Webinar- Adolescent Growth and Development (screenshot) 05/13/2022
#2 Webinar- Assess and Adjust (screenshots) 05/13/2022
#3 E-learning module survey- Basic Principles of Teaching Health Education (screenshots) 05/13/2022
#2 E-learning module survey- Culturally Responsive Health Education Classroom 05/13/2022
In-person training evaluation (screenshots) 05/13/2022
Micro Session Survey 05/13/2022
E-Learning Trauma Informed Approach (screenshots) 05/13/2022
Teacher Survey (screenshots) 05/13/2022
Student Survey (screenshots 05/13/2022
Invitation Letter for Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Study 05/13/2022
Reminder- Invitation Letter for Comprehensive Health Educator Core Knowledge and Skills (CHECKS) Study 05/13/2022
CHECKS TRAINING STUDY- TEACHER CONSENT 05/13/2022
CHECKS STUDY- STUDENT ASSENT FORM 05/13/2022
CHECKS STUDY- STUDENT ASSENT FORM 05/13/2022
ICF IRB Approval 05/13/2022
Notification of IRB Determination for CHECKS PD Pilot Study (email) 05/13/2022
Respondent Universe 05/13/2022
CHECK PD Pilot_Consultants 05/13/2022
PIA 05/13/2022
60dy published FRN 05/13/2022
NCHHSTP Project Determination 05/13/2022
Supporting Statement A 05/13/2022
Supporting Statement B 05/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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