Information Collection

National Youth Anti-Drug Media Campaign Qualitative Research

IC 33526 under ICR 201304-3201-007 · OMB 3201-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB Qualitative Supporting Statement B 3-22-13 3201-0011.doc	Other-Qualitative Research
OMB Qualitative Supporting Statement A 3-22-13 3201-0011- FINAL 7-26.doc	Other-Revised Qualitative Research
OMB Qualitative Supporting Statement B 3-22-13 3201-0011.doc National Youth Anti-Drug Media Campaign Qualitative Research	IC Document
60 day FRN 29 Jan 2013.pdf 60-Day Federal Register Notice	IC Document
30-day FRN.pdf 30-day Federal Register Notice	IC Document
2006 ONDCP Reauthorization Act.pdf Office of National Drug Control Policy Reauthorization Act of 2006	IC Document
OMB Qualitative Supporting Statement A 3-22-13 3201-0011- FINAL 7-26.doc OMB Qualitative Supporting Statement A 3-22-13 3201-0011 Final 7-26	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
Other-Qualitative Research			OMB Qualitative Supporting Statement B 3-22-13 3201-0011.doc		No		Paper Only
Other-Revised Qualitative Research			OMB Qualitative Supporting Statement A 3-22-13 3201-0011- FINAL 7-26.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,248

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	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,248	0	1,248
Annual IC Time Burden (Hours)	1,872	0	1,872
Annual IC Cost Burden (Dollars)	0	-19,730	19,730

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
National Youth Anti-Drug Media Campaign Qualitative Research	OMB Qualitative Supporting Statement B 3-22-13 3201-0011.doc	04/11/2013
60-Day Federal Register Notice	60 day FRN 29 Jan 2013.pdf	04/11/2013
30-day Federal Register Notice	30-day FRN.pdf	04/11/2013
Office of National Drug Control Policy Reauthorization Act of 2006	2006 ONDCP Reauthorization Act.pdf	04/11/2013
OMB Qualitative Supporting Statement A 3-22-13 3201-0011 Final 7-26	OMB Qualitative Supporting Statement A 3-22-13 3201-0011- FINAL 7-26.doc	07/30/2013

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