OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Screening Instrument for Parents and Youth

IC 188376 under ICR 201009-0920-001 · OMB 0920-0816.

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

View Information Collection (IC)

Focus Group Screening Instrument for Parents and Youth
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att.M -- Focus Group Screening Instrument for Parents and Youth+_fINAL_1-26-09.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

576 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 1,152 0 0 0 0 1,152
Annual IC Time Burden (Hours) 96 0 0 0 0 96
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att Att.L -- Youth Assent Form for Focus Groups_REV 1-9-09.doc 02/02/2009
Att Att.K -- Parental Permission Form for Focus Groups_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.