Information Collection

Adolescent Pretest & Main data collection

IC 228331 under ICR 201708-0910-011 · OMB 0910-0848.

Documents and Forms

Document Name Document Type
Appendix F_GWL Instrument.docx Other-Study Instrument
Stimuli.pdf Other-Stimuli

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Adolescent Pretest & Main data collection	Agency IC Tracking Number:

Is this a Common Form? No		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-Study Instrument			Appendix F_GWL Instrument.docx		Yes	Yes	Fillable Fileable
Other-Stimuli			Stimuli.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 865	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	865	865
Annual IC Time Burden (Hours)	216	216
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.