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

Strategies To Respond to Intimate Violence Effectively (STRIVE) OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument 1. HMRE pre and post survey.docx Yes Yes Fillable Fileable
Other-Survey Instrument 2. RF pre and post survey.docx Yes Yes Fillable Fileable
Other-Contact info Instrument 3. Contact information form.docx Yes Yes Fillable Fileable
Other-log Instrument 4. Implementation log.docx Yes Yes Fillable Fileable
Other-Interview protocol Instrument 5. Interview protocol for HMRF staff.docx Yes Yes Printable Only

Community and Social Services Social Services

 

356 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 392 0 0 0 0 392
Annual IC Time Burden (Hours) 175 0 0 0 0 175
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Prog Support - STRIVE STRIVE_Formative ACF Program Support_SSA_CLEAN.docx 02/25/2025
SSB Prog Support - STRIVE STRIVE_Formative ACF Program Support_SSB_clean.docx 02/25/2025
Attachment A. Study consent form for HMRF participants Attachment A. Study consent form for HMRF participants.docx 02/25/2025
Attachment B. Study consent form for HMRF staff interviews Attachment B. Study consent form for HMRF staff interviews.docx 02/25/2025
Attachment C. CUES safety card_HMRE programs Attachment C. CUES safety card_HMRE programs.docx 03/06/2025
Attachment D. CUES safety card_RF programs Attachment D. CUES safety card_RF programs.docx 02/25/2025
Attachment E. CUES safety card_AIAN participants Attachment E. CUES safety card_AIAN participants CLEAN.docx 03/06/2025
Attachment F. Information and outreach scripts Attachment F. Information and outreach scripts.docx 02/25/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.