Information Collection

Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Late Adolescents

IC 196362 under ICR 201102-0920-015 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 Developing a Sexual Consent Norms Instrument - Confirmatory Survey of Late Adolescents	Form and Instruction
29 Late Adolescent Survey Appendix_29_Phase_2_Late_Adolescent_Survey_(2)_revised_1_18[1].docx	Form and Instruction
Appendix 12_Phase 2 College Student Informed Consent.docx Appendix 12_Phase 2 College Student Informed Consent	IC Document
Appendix 16_Phases 2 and 4 Adolescent Assent.docx Appendix 16_Phases 2 and 4 Adolescent Assent	IC Document
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21	IC Document
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA	IC Document

IC Title:

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	29	Late Adolescent Survey	Appendix_29_Phase_2_Late_Adolescent_Survey_(2)_revised_1_18[1].docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix 12_Phase 2 College Student Informed Consent	Appendix 12_Phase 2 College Student Informed Consent.docx	02/14/2011
Appendix 16_Phases 2 and 4 Adolescent Assent	Appendix 16_Phases 2 and 4 Adolescent Assent.docx	02/14/2011
Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21	Appendix 14_Phase 2 Parental Informed Consent (2)_revised 1_21.docx	02/14/2011
Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA	Appendix 21_Phases 2 and 5 College Student Recruitment Langage on SONA.docx	02/14/2011

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