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Federal forms, ICRs, and supporting documents

Information Collection

Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project

IC 254573 under ICR 202410-0970-003 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Fidelity Log
Other-interview guide
Other-Focus Group Guide
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project OPRE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Fidelity Log Instrument 1_Fidelity log.docx Yes Yes Fillable Fileable
Other-interview guide Instrument 2_Facilitator interview guide.docx Yes Yes Paper Only
Other-Focus Group Guide Instrument 3_Youth focus group guide.docx Yes Yes Paper Only

Community and Social Services Social Services

 

120 0
   
Individuals or Households
 
   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 204 0 0 0 0 204
Annual IC Time Burden (Hours) 120 0 0 0 0 120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Prog Supp GenIC: PREP PYP Curriculum Adaptation Generic SSA_CUY Pilots_rev_4.5_CLEAN.docx 07/11/2022
SSB - Prog Supp GenIC: PREP PYP Curriculum Adaptation Generic_SSB_CUY_Pilots_rev_4.6_clean.docx 07/11/2022
Appendix A: Consent form for parents of youth with IDD Appendix A_ Consent form for parents_4.5_Clean.docx 07/11/2022
Appendix B: Consent form for youth with IDD over 18 Appendix B_Consent form for youth over 18_4.6_clean.docx 07/11/2022
Appendix C: Assent form for youth with IDD participants Appendix C_Assent form for youth_4.6_clean.docx 07/11/2022
Appendix D: Consent for facilitators Appendix D_ Consent form for Lesson Facilitators_4.6_clean.docx 07/11/2022
NOA - Prog Supp GenIC: PREP PYP Curriculum Adaptation NOA_PREP PYP CUY Curriculum_Prog Supp GenIC_0970-0531_4.13.22.pdf 07/11/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.