Information Collection

LGBT young adults Outcome follow-up questionnaire (social media)

IC 218386 under ICR 201802-0910-015 · OMB 0910-0808.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0808 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 2 Survey Instrument_FU4_OMB.docx	Other-Follow Up
Attachment 6a New Participant Survey Informed Consent_FU4.docx	Other-CrossSectional Survey Informed
Attachment 6b Returning Participant Survey Informed Consent_FU4.docx	Other-Longitudinal Survey Informed C

IC Title:

LGBT young adults Outcome follow-up questionnaire (social media)

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-CrossSectional Survey Informed Consent	Attachment 6a New Participant Survey Informed Consent_FU4.docx	Yes	Yes	Fillable Printable
Other-Longitudinal Survey Informed Consent	Attachment 6b Returning Participant Survey Informed Consent_FU4.docx	Yes	Yes	Fillable Printable
Other-Follow Up	Attachment 2 Survey Instrument_FU4_OMB.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,052

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	Previously Approved
Annual Number of Responses for this IC	1,052	263	789
Annual IC Time Burden (Hours)	700	175	525
Annual IC Cost Burden (Dollars)	0	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.