Information Collection

Youth Post-Test Online Outcome Survey

IC 215950 under ICR 201701-0910-001 · OMB 0910-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1_ Post Campaign Instrument.docx	Other-ost Campaign Instrument
Attachment 17_Verification Call Script.docx	Other-Verification Call Script

IC Title:

Youth Post-Test Online Outcome Survey

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
Other-ost Campaign Instrument			Attachment 1_ Post Campaign Instrument.docx		Yes	Yes	Fillable Fileable
Other-Verification Call Script			Attachment 17_Verification Call Script.docx		No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,100	2,100
Annual IC Time Burden (Hours)	-1,575	1,575
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.