Information Collection Request

Evaluation of the Natinal Abstinence Media Campaign

ICR 200701-0990-007 · OMB 0990-0311 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix H Exposure Protocol-CHANGES APPLIED.doc Supplementary Document Uploaded 2007-06-06 Available
OMB_supp_statement_ REVISED_6-4-2007.wTC.doc Supplementary Document Uploaded 2007-06-06 Available
OMB_supp_statement_Parents Media Campaign.doc Supporting Statement B Uploaded 2007-01-16 Available
OMB_supp_statement_Parents Media Campaign.doc Supporting Statement A Uploaded 2007-01-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
178359 18-month parent follow-up New
178358 12-month parent follow-up New
178357 6-months parent follow-up New
178356 4-week parent follow-up New
178355 Baseline parent survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2009 36 Months From Approved
6,987 0 0
3,495 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Baseline parent survey
4-week parent follow-up
6-months parent follow-up
12-month parent follow-up
18-month parent follow-up

table that charts list of burden
  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 6,987 0 0 6,987 0 0
Annual Time Burden (Hours) 3,495 0 0 3,495 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No