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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.