Information Collection

NIDA for Teens Web Site on Usefulness and Knowledge to be Learned

IC 208638 under ICR 201202-0925-001 · OMB 0925-0655.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0655 can be found here:

2015-03-27 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NIDA Fast Track (OMB Cntrl #0925-0655) - Instructions for Students.docx	Instruction
NIDA Fast Track (OMB Cntrl # 0925-0655)- Instructions for Teachers.docx	Instruction
1 Student Survey Screenshots NIDA Fast Track (OMB Cntrl #0925-0655) - Student Survey Screenshot.pdf	Form
2 Teacher Survey Screenshots NIDA Fast Track (OMB Cntrl #0925-0655) -Teacher Survey Screenshot.pdf	Form
NIDA Fast Track (OMB Cntrl # 0925-0655) - IRB Approval Letter.pdf NIDA Fast Track (OMB Cntrl # 0925-0655) - IRB Approval Letter	IC Document
NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form parents.docx NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form parents	IC Document
NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form Teachers.docx NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form Teachers	IC Document
NIDA Fast Track (OMB Cntrl # 0925-0655)- Student Survey (2).docx NIDA Fast Track (OMB Cntrl # 0925-0655)- Student Survey (2)	IC Document
NIDA Fast Track (OMB Cntrl # 0925-0655)- Teacher Survey (2).docx NIDA Fast Track (OMB Cntrl # 0925-0655)- Teacher Survey (2)	IC Document
NIDA Fast Track (OMB Cntrl #0925-0655 -School Principal's Consent Form (2).docx NIDA Fast Track (OMB Cntrl #0925-0655 -School Principal's Consent Form (2)	IC Document
NIDA Fast Track (OMB Cntrl #0925-0655) - Letter to Principals (2).docx NIDA Fast Track (OMB Cntrl #0925-0655) - Letter to Principals (2)	IC Document
NIDA Fast Track(OMB cntrl # 0925-0655) - Fast Track Template.doc NIDA Fast Track(OMB cntrl # 0925-0655) - Fast Track Template	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

NIDA for Teens Web Site on Usefulness and Knowledge to be Learned

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NIDA Fast Track (OMB Cntrl #0925-0655) - Instructions for Students.docx	No	No	Paper Only
Instruction			NIDA Fast Track (OMB Cntrl # 0925-0655)- Instructions for Teachers.docx	No	No	Paper Only
Form	1	Student Survey Screenshots	NIDA Fast Track (OMB Cntrl #0925-0655) - Student Survey Screenshot.pdf	Yes	Yes	Fillable Fileable
Form	2	Teacher Survey Screenshots	NIDA Fast Track (OMB Cntrl #0925-0655) -Teacher Survey Screenshot.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 420

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	420	0	0	0	0	0
Annual IC Time Burden (Hours)	190	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIDA Fast Track (OMB Cntrl # 0925-0655) - IRB Approval Letter	NIDA Fast Track (OMB Cntrl # 0925-0655) - IRB Approval Letter.pdf	09/05/2013
NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form parents	NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form parents.docx	09/05/2013
NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form Teachers	NIDA Fast Track (OMB Cntrl # 0925-0655)- Consent form Teachers.docx	09/05/2013
NIDA Fast Track (OMB Cntrl # 0925-0655)- Student Survey (2)	NIDA Fast Track (OMB Cntrl # 0925-0655)- Student Survey (2).docx	09/12/2013
NIDA Fast Track (OMB Cntrl # 0925-0655)- Teacher Survey (2)	NIDA Fast Track (OMB Cntrl # 0925-0655)- Teacher Survey (2).docx	09/12/2013
NIDA Fast Track (OMB Cntrl #0925-0655 -School Principal's Consent Form (2)	NIDA Fast Track (OMB Cntrl #0925-0655 -School Principal's Consent Form (2).docx	09/12/2013
NIDA Fast Track (OMB Cntrl #0925-0655) - Letter to Principals (2)	NIDA Fast Track (OMB Cntrl #0925-0655) - Letter to Principals (2).docx	09/12/2013
NIDA Fast Track(OMB cntrl # 0925-0655) - Fast Track Template	NIDA Fast Track(OMB cntrl # 0925-0655) - Fast Track Template.doc	09/12/2013

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