OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

A Controlled Evaluation of Expect Respect Support Groups (ERSG): Preventing and Interrupting Teen Dating Violence among At-Risk Middle and High School Students

OMB 0920-0861 · HHS/CDC.

OMB 0920-0861

Latest Forms, Documents, and Supporting Material

Document Name
ERSG OMB SSB.docx Supporting Statement B
Att M - Public Comment.docx Supplementary Document
Att H - Expect Respect Safety Procedures and Mandatory Reporting Requirements 7.19.10.doc Supplementary Document
Att G - Student Assent Form and Parent Notification Form (v3).doc Supplementary Document
Att F - CDC IRB Approval.docx Supplementary Document
Att B - Published 60-Day FRN.pdf Supplementary Document
Att A - PHS Act Sec 301.pdf Supplementary Document
ERSG OMB SSA - 7-1-2013 - REVISED.docx Supporting Statement A
ERSG Facilitator End of Year Qualitative Interview Other-WORD
ERSG Facilitator Mid-Year Qualitative Interview Other-WORD
ERSG Observational Program Implementation Fidelity Measure Other-WORD
ERSG Facilitator Program Implementation Fidelity Measure Other-WORD
Teen Dating Violence Support Group Evaluation Survey (Baseline Survey) Other-WORD
Intake Assessment Screening Form for Expect Respect Support Groups (Intake Assessment) Other-WORD
Intervention and Control Schools (Follow-Up Survey) Other-WORD
Intervention and Control Schools (Completion Survey) Other-WORD

All Historical Document Collections

201307-0920-008 Approved without change	Extension without change of a currently approved collection	2013-07-18
201209-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-09-27
201201-0920-007 Disapproved and continue	No material or nonsubstantive change to a currently approved collection	2012-01-20
201110-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-10-14
201104-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-04-12
201008-0920-004 Approved without change	New collection (Request for a new OMB Control Number)	2010-08-13