National Youth Anti-Drug Media Campaign Qualitative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3201-0011 can be found here:

Documents and Forms

Document Name Document Type
OMB 3201-0011 Qualitative Supporting Statement B.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Youth Anti-Drug Media Campaign Qualitative Research	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			OMB 3201-0011 Qualitative Supporting Statement B.doc		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,248	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,248	336	912
Annual IC Time Burden (Hours)	1,872	504	1,368
Annual IC Cost Burden (Dollars)	19,730	-1,025,270	1,045,000

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.