OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Youth Knowledge, Attitudes, and Feedback to Inform Choose Respect Implementation

ICR 201009-0920-001 · OMB 0920-0816 · Historical Active

Forms and Documents
Document
Name
Status
Supporting Statement B
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2010-08-25
Supplementary Document
2009-02-02
Supplementary Document
2009-02-02
Supplementary Document
2009-02-02
Supporting Statement A
2010-08-25
IC Document Collections
IC ID
Document
Title
Status
188377 Modified
188376 Modified
188375 Modified
188374 Modified
188373 Modified
188372 Modified
ICR Details
0920-0816 201009-0920-001
Historical Active 200903-0920-006
HHS/CDC
Youth Knowledge, Attitudes, and Feedback to Inform Choose Respect Implementation
Revision of a currently approved collection   No
Regular
Approved without change 11/23/2010
Retrieve Notice of Action (NOA) 09/02/2010
  Inventory as of this Action Requested Previously Approved
11/30/2013 36 Months From Approved 06/30/2012
6,304 0 6,304
1,354 0 1,354
0 0 0
This Information Collection Request (ICR) is a revision of previously approved OMB# 0920-0816. This is a three year study and includes a revision to the study name from, "Youth Advice and Feedback to Inform Choose Respect Implementation" to, "Youth Knowledge, Attitudes, and Feedback to Inform Choose Respect Implementation". The proposed participants are youth, ages 1l to 18, specifically youth living in high-risk, inner-city communities (YHRICC). This research will be conducted because CDC's Division of Violence Prevention is developing an initiative to promote respectful, nonviolent dating relationships for 11- to 14-year-old YHRICC--a group that may be at an increased risk of teen dating violence (TDV) due to concentrated poverty, lack of resources, and exposure to community violence (2010a). In addition, few, if any, TDV prevention programs exist for this audience. As part of the initiative, CDC plans to engage 15- to 18-year-olds who have significant influence on their younger peers (CDC, 2010b), to help reinforce messages about healthy dating relationships. This is why 15- to 18-year-olds will also participate in the proposed information collections.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 20849 04/21/2010
75 FR 38104 07/01/2010
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,304 6,304 0 0 0 0
Annual Time Burden (Hours) 1,354 1,354 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$568,528
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/02/2010