Information Collection

National Youth Anti-Drug Media Campaign Qualitative Research

IC 33526 under ICR 200903-3201-007 · OMB 3201-0011.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB 3201-0011 Qualitative Supporting Statement B.doc	Instruction

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.