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Federal forms, ICRs, and supporting documents

Information Collection

Online Screening Instrument for Youth

IC 188375 under ICR 201009-0920-001 · OMB 0920-0816.

Documents and Forms
Document Name
Document Type
Other-WORD
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Online Screening Instrument for Youth
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att.H -- Online Survey Screening Instrument for Youth_final_1-26-09.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

400 0
   
Individuals or Households
 
   0 %

  Approved 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 1,600 0 0 0 0 1,600
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att Att.I -- Online Survey Youth Assent Form v3_final_1-26-09.doc 02/02/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.