Information Collection

Youth Baseline Questionnaire (Experimenter and Non-Trier)

IC 208708 under ICR 201512-0910-002 · OMB 0910-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Document Name Document Type
Attachment 6c_Youth Assent under 18 ExPECTT 3 0910-0753.doc Other-Youth Assent

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youth Baseline Questionnaire (Experimenter and Non-Trier)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Youth Assent			Attachment 6c_Youth Assent under 18 ExPECTT 3 0910-0753.doc		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,686	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,686	2,686
Annual IC Time Burden (Hours)	1,343	1,343
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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