Information Collection

GONA - Youth

IC 193424 under ICR 201006-0930-003 · OMB 0930-0315.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GONA_Youth_Instrum GONA - Youth	Form and Instruction
GONA_Youth_Instrum GONA_Youth_Instruments Attachment 3-Key_Informant_GONA_Youth_Instruments.pdf	Form and Instruction
Attachment 4-Key_Informant_GONA_Youth_Supporting.pdf GONA_Youth_Supporting	IC Document

IC Title:

GONA - Youth

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form and Instruction	GONA_Youth_Instruments	GONA_Youth_Instruments	Attachment 3-Key_Informant_GONA_Youth_Instruments.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GONA_Youth_Supporting	Attachment 4-Key_Informant_GONA_Youth_Supporting.pdf	06/10/2010

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