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Federal forms, ICRs, and supporting documents

Information Collection

Media-Smart Youth® Teen Leaders Program: Final Program Satisfaction Survey for Teen Leaders

IC 215109 under ICR 201410-0925-002 · OMB 0925-0643.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
Media-Smart Youth® Teen Leaders Program: Final Program Satisfaction Survey for Teen Leaders		 Form and Instruction
1 MSY Teen Leaders Final Survey
0925-0643_clearance_template_MSY Teen Leaders_Final.doc 		Form and Instruction
0925-0643_MSY Teen Leaders_Teen Leaders Final Survey.pdf
Fast-Track Template Submission Form		IC Document

Information Collection (IC) Details

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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
Form and Instruction 1 MSY Teen Leaders Final Survey 0925-0643_clearance_template_MSY Teen Leaders_Final.doc Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 59 0 59 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Fast-Track Template Submission Form 0925-0643_MSY Teen Leaders_Teen Leaders Final Survey.pdf 02/19/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.