Instrument 1 - Participant Entry Survey

Sexual Risk Avoidance Education (SRAE) Performance Measures

OMB: 0970-0536

IC ID: 236136

Documents and Forms
Document Name
Document Type
Other-Current Entry Survey HS and Ol
Other-2026 Participant Entry Survey
Other-Current Participant Entry Surv
Other-2026 Participant Entry Survey
Other-Current Participant Entry Surv
Other-2026 Participant Entry Survey
Other-Current Participant Entry Surv
Other-2026 Participant Entry Survey
Information Collection (IC) Details

View Information Collection (IC)

Instrument 1 - Participant Entry Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Current Entry Survey HS and Older Youth Instrument 1a (Current) Participant Entry Survey for high school and older youth.docx Yes Yes Fillable Fileable
Other-2026 Participant Entry Survey HS and Older Youth Instrument 1a (Implement 2026) Participant Entry Survey for high school and older youth_clean.docx Yes Yes Fillable Fileable
Other-Current Participant Entry Survey for middle school youth Instrument 1b (Current) Participant Entry Survey for middle school youth.docx Yes Yes Fillable Fileable
Other-2026 Participant Entry Survey for middle school youth Instrument 1b (Implement 2026) Participant Entry Survey for middle school youth_clean.docx Yes Yes Fillable Fileable
Other-Current Participant Entry Survey for high school and older youth in programs with impact evaluations Instrument 1c (Current) Participant Entry Survey for high school and older youth in programs with impact evaluations.docx Yes Yes Fillable Fileable
Other-2026 Participant Entry Survey for high school and older youth in programs with impact evaluations Instrument 1c (Implement 2026) Participant Entry Survey for high school and older youth in programs with impact evaluations_clean.docx Yes Yes Fillable Fileable
Other-Current Participant Entry Survey for middle school youth in programs with impact evaluations Instrument 1d (Current) Participant Entry Survey for middle school youth in programs with impact evaluations.docx Yes Yes Fillable Fileable
Other-2026 Participant Entry Survey for middle school youth in programs with impact evaluations Instrument 1d (Implement 2026) Participant Entry Survey for middle school youth in programs with impact evaluations_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

627,636 0
   
Individuals or Households
 
   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 209,191 0 -254,662 0 0 463,853
Annual IC Time Burden (Hours) 19,171 0 -42,666 0 0 61,837
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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