Information Collection

Youth 1st, 2nd, 3rd Follow-Up Questionnaire (Experimenter and Non-Trier)

IC 208709 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Attachment 15_Panel Maintenance Letter ExPECTT 3 0910-0753.docx	Other-Panel Maintenance Letter ExPEC
Attachment 6b_Parent Permission ExPECTT 3 0910-0753.doc	Other-Parent Permission ExPECTT
Attachment 6c_Youth Assent under 18 ExPECTT 3 0910-0753.doc	Other-Youth Assent Under 18 ExPECTT
Attachment 6d_Youth Consent 18 and up ExPECTT 3 0910-0753.doc	Other-Youth Consent 18 and up ExPECT
Attachment 6a_Routing for Consent ExPECTT 3 0910-0753.doc	Other-Routing for Consent ExPECTT
Attachment 2_Youth Follow-up Instrument ExPECTT 3 0910-0753.doc	Other-Youth Follow-up ExPECTT
Rationale for Changes to ExPECTT 3 Instrument 0910-0753.docx	Other-Rationale for Changes to ExPEC
Email_reminder1_ExPECTT 3 0910-0753.doc	Other-Email Reminder 1
Email_reminder2_ExPECTT 3 0910-0753.doc	Other-Email Reminder 2
Email_reminder3_ExPECTT 3 0910-0753.doc	Other-Email Reminder 3
Attachment 4_Media Tracking Instrument ExPECTT 3 0910-0753.docx	Other-Media Trackin ExPECTT
Rationale for Changes to ExPECTT 3 Media Tracking Instrument 0910-0753.docx	Other-Rantionale for Changes to ExPE

IC Title:

Youth 1st, 2nd, 3rd Follow-Up 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:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Panel Maintenance Letter ExPECTT	No		Paper Only
Other-Parent Permission ExPECTT	Yes	Yes	Fillable Fileable
Other-Youth Assent Under 18 ExPECTT	No		Paper Only
Other-Youth Consent 18 and up ExPECTT	No		Paper Only
Other-Routing for Consent ExPECTT	No		Printable Only
Other-Youth Follow-up ExPECTT	Yes	Yes	Fillable Fileable
Other-Rationale for Changes to ExPECTT	Yes	No	Printable Only
Other-Email Reminder 1	Yes	Yes	Fillable Fileable
Other-Email Reminder 2	Yes	Yes	Fillable Fileable
Other-Email Reminder 3	Yes	Yes	Fillable Fileable
Other-Media Trackin ExPECTT	Yes	Yes	Fillable Fileable
Other-Rantionale for Changes to ExPECTT	No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,242

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,242	5,242
Annual IC Time Burden (Hours)	3,931	3,931
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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