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Federal forms, ICRs, and supporting documents

Information Collection

PATH - Adults - Followup/Tracking Participant Information Form for Shadow Sample Youth(completed ny Parents)/Field Test

IC 203772 under ICR 201407-0925-004 · OMB 0925-0664.

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Form and Instruction
Form and Instruction
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Information Collection (IC) Details

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PATH - Adults - Followup/Tracking Participant Information Form for Shadow Sample Youth(completed ny Parents)/Field Test
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Shadow Sample 3j-English. Followup Tracking Participant Information Form - Shadow Sample 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 0 0 -32,372 0 0 32,372
Annual IC Time Burden (Hours) 0 0 -4,316 0 0 4,316
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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