Youth Survey

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

OMB: 0920-0977

IC ID: 203637

Information Collection (IC) Details

View Information Collection (IC)

Youth Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Youth Survey Att 9B_YouthSurvey.docx Yes Yes Fillable Fileable
Form none Youth Survey - Spanish Att 9B-S_YouthSurvey_SP.docx Yes Yes Fillable Fileable

Health Immunization Management

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

640 0
   
Individuals or Households
 
   100 %

  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 640 0 640 0 0 0
Annual IC Time Burden (Hours) 213 0 213 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 9C_Youth_CaregiverSurvey_ItemSources_2013_0618 Att 9C_Youth_CaregiverSurvey_ItemSources_2013_0618.pdf 08/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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