View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

DASH COVID-19 Demonstration: Mental Health Formative Evaluation and Pilot Study 0920-0840-22HZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable
Form and Instruction 0920-0840 NA Yes Yes Fillable Fileable

Health Illness Prevention

 

174 0
   
State, Local, and Tribal Governments
 
   50 %

  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 1,044 0 1,044 0 0 0
Annual IC Time Burden (Hours) 152 0 152 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IRB Determination 08/26/2022
Family Consent Form 08/26/2022
Student Consent Form 08/26/2022
Mental Health Study Information Sheet 08/26/2022
Reminder/Participation Emails 08/26/2022
Supporting Statement A 08/26/2022
Supporting Statement B 08/26/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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