OMB control number

Evaluation of the Safe Dates Project

OMB 0920-0783 · HHS/CDC.

OMB 0920-0783

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement B - CLEAN.docx Supporting Statement B
Attachment K - Public Comment.docx Supplementary Document
Attachment G - Statement of Agreement.docx Supplementary Document
Attachment C - IRB Approval Notice.pdf Supplementary Document
Attachment C__IRB_Request_for_Exemption_approval_2_12_10_2.pdf Supplementary Document
Attachment B - Published 60-Day FRN.pdf Supplementary Document
Attachment A Authorizing Legislation.doc Supplementary Document
Attachment D - Student Privacy Pledge.doc Supplementary Document
Attachment H - Parent Brochure.docx Supplementary Document
Attachment I - Safe Dates Student Assent.docx Supplementary Document
Attachment E - Lead Letter to Parents.docx Supplementary Document
Supporting Statement A - CLEAN 12-14-10.docx Supporting Statement A
Student Focus Group Guide Other-Word
Teacher Interview Guide Other-WORD
Student Effectivness Follow-up Survey Other-WORD
Follow-Up Prevention Coordinator Survey Other-WORD
Teacher 5th and 9th Session Mid-Implementation Survey Other-WORD
Student Effectiveness Baseline Survey Other-WORD
1st and 2nd Student Mid-Implementation Survey Other-WORD
Principal and Prevention Coordinator End-of-Year Implementation Survey Other-ORD
Teacher Cost Survey Other-WORD
Principle and Prevention Coordinator Mid-Implementation Survey Other-WORD
Principle, Prevention Coordinator and Teacher Baseline Survey Other-WORD

All Historical Document Collections

201010-0920-005 Approved with change	Revision of a currently approved collection	2010-10-15
200801-0920-002 Approved with change	New collection (Request for a new OMB Control Number)	2008-01-03