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Information Collection

PATH/Baseline- Adults - Followup/Tracking Participant Information Form for Youth (completed by parents)

IC 203763 under ICR 201312-0925-006 · OMB 0925-0664.

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Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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PATH/Baseline- Adults - Followup/Tracking Participant Information Form for Youth (completed by parents)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Follow-up/Tracking Participant Information Form (completed by parents) 3i-English. Followup Tracking Participant Information Form - Youth 050813.pdf Yes Yes Fillable Fileable

Health Immunization Management

NIH Privacy Act System of Records 09-25-0200 Clinical, Basic Population-based research studies of NIH, HHS/NIH/OD  67 FR 60741

16,186 0
   
Individuals or Households
 
   0 %

  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 32,372 0 0 0 0 32,372
Annual IC Time Burden (Hours) 4,316 0 0 0 0 4,316
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3i-Spanish 3i-Spanish. Followup Tracking Participant Information Form - Youth.pdf 06/28/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.