OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Media Tracking Questionnaires 1st, 2nd and; 3rd

IC 208714 under ICR 201512-0910-002 · OMB 0910-0753.

Documents and Forms
Document Name
Document Type
Other-Media Tracking ExPECTT
Other-Rationale for Changes to ExpEC
Other-Youth Follow-up ExPECTT
Other-Rational for Changes to ExPECT
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Media Tracking Questionnaires 1st, 2nd and; 3rd
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Media Tracking ExPECTT Attachment 4_Media Tracking Instrument ExPECTT 3 0910-0753.docx Yes Yes Fillable Fileable
Other-Rationale for Changes to ExpECTT Media Tracking Rationale for Changes to ExPECTT 3 Media Tracking Instrument 0910-0753.docx No   Printable Only
Other-Youth Follow-up ExPECTT Attachment 2_Youth Follow-up Instrument ExPECTT 3 0910-0753.doc Yes Yes Fillable Fileable
Other-Rational for Changes to ExPECTT Rationale for Changes to ExPECTT 3 Instrument 0910-0753.docx No   Printable Only

Health Consumer Health and Safety

 

3,999 0
   
Individuals or Households
 
   100 %

  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 3,999 0 0 0 0 3,999
Annual IC Time Burden (Hours) 2,001 0 0 0 0 2,001
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Contents of change request 0 Contents of OMB Change Request for ExPECTT Second Follow Up.doc 03/04/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.