Information Collection

Adolescents - State/Tribal - Trainees

IC 208303 under ICR 201512-0930-006 · OMB 0930-0286.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0286 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D7.Training Utiliz Adolescents - State/Tribal - Trainees	Form and Instruction
D7.Training Utiliz D7.Training Utilization and Preservation Survey (TUP-S-A D7.Training Utilization and Preservation Survey (TUP-S-A)- Adolescent Version.docx	Form and Instruction
D8. TUP-S-A Consen D8. TUP-S-A Consent-to-Contact and Youth Assent Forms.do D8. TUP-S-A Consent-to-Contact and Youth Assent Forms.docx	Form and Instruction

IC Title:

Adolescents - State/Tribal - Trainees

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

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	D7.Training Utilization and Preservation Survey	D7.Training Utilization and Preservation Survey (TUP-S-A)- Adolescent Version.docx	D7.Training Utilization and Preservation Survey (TUP-S-A)- Adolescent Version.docx		Yes	Yes	Fillable Fileable
Form and Instruction	D8. TUP-S-A Consent-to-Contact	D8. TUP-S-A Consent-to-Contact and Youth Assent Forms.docx	D8. TUP-S-A Consent-to-Contact and Youth Assent Forms.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-300	300
Annual IC Time Burden (Hours)	-48	48
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.