Information Collection

Evaluation of Young Marines Drug Education Program

IC 185161 under ICR 201012-0703-005 · OMB 0703-0058.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BLUE YM youth survey with IRB stamp_revJul30.doc	Other-Survey
Paper Follow-up BLUE YM youth survey with IRB stamp_revJul30.doc	Other-Survey
YM_Adult Leaders survey_PRIVATE.doc	Other-Survey
flyer.pdf Flyer	IC Document
initial parent letter.pdf Initial Parent Letter	IC Document
Inperson subject recruitment presentation.doc Inperson subject recruitment presentation	IC Document
letter with incentive.pdf Letter With Incentive	IC Document
On-line subject recruitment presentation.doc On-line subject recruitment presentation	IC Document
reminder emails.pdf Reminder Emails	IC Document
Support emails.pdf Support Emails	IC Document
unit leader invitation to participate.pdf unit leader invitation to participate	IC Document
Permission voluntary consent.doc Permission Voluntary Consent	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	BLUE YM youth survey with IRB stamp_revJul30.doc	Yes	Yes	Fillable Fileable
Other-Survey	Paper Follow-up BLUE YM youth survey with IRB stamp_revJul30.doc	Yes	Yes	Fillable Fileable
Other-Survey	YM_Adult Leaders survey_PRIVATE.doc	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,325

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 62 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,575	1,575
Annual IC Time Burden (Hours)	1,046	1,046
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Flyer	flyer.pdf	08/14/2008
Initial Parent Letter	initial parent letter.pdf	08/14/2008
Inperson subject recruitment presentation	Inperson subject recruitment presentation.doc	08/14/2008
Letter With Incentive	letter with incentive.pdf	08/14/2008
On-line subject recruitment presentation	On-line subject recruitment presentation.doc	08/14/2008
Reminder Emails	reminder emails.pdf	08/14/2008
Support Emails	Support emails.pdf	08/14/2008
unit leader invitation to participate	unit leader invitation to participate.pdf	08/14/2008
Permission Voluntary Consent	Permission voluntary consent.doc	09/17/2008

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