Information Collection

Adolescent Health: Think. Act. Grow (TAG): Playbook Survey

IC 233976 under ICR 201703-0990-003 · OMB 0990-0459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Document Name Document Type
0990-0459 TAG Online Survey.docx Other-OnlineSurvey
0990-0459 TAG_ Email Invitation.docx Invitation IC Document
0990-0459 Thank You Message.docx ThankYouMessage IC Document
0990-0459 Landing Page.docx Landing Page IC Document
0990-0459_FastTrackMemo_for TAG online survey-11-15-18_v2.docx Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Adolescent Health: Think. Act. Grow (TAG): Playbook Survey	Agency IC Tracking Number:

IC Status: New

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-OnlineSurvey			0990-0459 TAG Online Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,473	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24,473	24,473
Annual IC Time Burden (Hours)	6,118	6,118
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Invitation	0990-0459 TAG_ Email Invitation.docx	11/14/2018
ThankYouMessage	0990-0459 Thank You Message.docx	11/14/2018
Landing Page	0990-0459 Landing Page.docx	11/14/2018
Memo	0990-0459_FastTrackMemo_for TAG online survey-11-15-18_v2.docx	11/15/2018

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