Information Collection

Youth and Parent Ad Tracking Survey

IC 185451 under ICR 201304-3201-006 · OMB 3201-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx	Instruction
Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx Tracking Study Above the Influence Main Questionnaire 20 AUg 2013	IC Document
Above the Influence Youth Online Tracking Questionnaire Organization Aug 20 2013.docx Above the Influence Youth Online Tracking Questionnaire Organization	IC Document
Tracking Study Above the Influence SCREENER 20 Aug 2013.docx Tracking Study Above the Influence SCREENER	IC Document
30-day FRN.pdf 30-Day FRN	IC Document
60 day FRN 29 Jan 2013.pdf 60-Day FRN	IC Document
2006 ONDCP Reauthorization Act.pdf 2006 ONDCP Reauthorization Act	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,000	-640	14,640
Annual IC Time Burden (Hours)	3,500	-160	3,660
Annual IC Cost Burden (Dollars)	37,643	-1,608	39,251

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Tracking Study Above the Influence Main Questionnaire 20 AUg 2013	Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx	08/20/2013
Above the Influence Youth Online Tracking Questionnaire Organization	Above the Influence Youth Online Tracking Questionnaire Organization Aug 20 2013.docx	08/27/2013
Tracking Study Above the Influence SCREENER	Tracking Study Above the Influence SCREENER 20 Aug 2013.docx	08/27/2013
30-Day FRN	30-day FRN.pdf	08/27/2013
60-Day FRN	60 day FRN 29 Jan 2013.pdf	08/27/2013
2006 ONDCP Reauthorization Act	2006 ONDCP Reauthorization Act.pdf	08/27/2013

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