Information Collection

Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire

IC 222024 under ICR 201711-0910-003 · OMB 0910-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 2_E2b. Youth Follow-up Instrument ExPECTT.doc	Other-Youth Follow-up Instrument ExP
Attachment 6_E2a. Routing for Consent ExPECTT.doc	Other-Routing for Consent ExPECTT
Attachment 6_E2d. Youth Consent 18 and up ExPECTT.docx	Other-Youth Consent 18 and up ExPECT

IC Title:

Cohort 2--Youth 1st, 2nd, 3rd Follow-Up Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Youth Follow-up Instrument ExPECTT	Attachment 2_E2b. Youth Follow-up Instrument ExPECTT.doc	Yes	Yes	Fillable Fileable
Other-Routing for Consent ExPECTT	Attachment 6_E2a. Routing for Consent ExPECTT.doc	Yes	Yes	Fillable Fileable
Other-Youth Consent 18 and up ExPECTT	Attachment 6_E2d. Youth Consent 18 and up ExPECTT.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,270

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	Previously Approved
Annual Number of Responses for this IC	6,270	6,270
Annual IC Time Burden (Hours)	4,703	4,703
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.