Information Collection

Consent and Training

IC 233983 under ICR 201811-2127-006 · OMB 2127-0740.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1471 Consent and Training	Form and Instruction
1471 Reminder Postcard Form1471_RAPTevaluation-TeenReminderCard-3.docx	Form and Instruction
1455 Parent Consent Form Form1455_RAPTevaluation-ParentConsentForm-5.docx	Form and Instruction
1456 Teen Consent Form Form1456_RAPTevaluation-TeenAgreementToParticipate-5.docx	Form and Instruction
1457 Teen Data Collection Prior to Training Form1457_RAPTevaluation-TeenDataCollectionPriorToTraining-5.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1471	Reminder Postcard	Form1471_RAPTevaluation-TeenReminderCard-3.docx	No		Paper Only
Form and Instruction	1455	Parent Consent Form	Form1455_RAPTevaluation-ParentConsentForm-5.docx	Yes	Yes	Fillable Fileable
Form and Instruction	1456	Teen Consent Form	Form1456_RAPTevaluation-TeenAgreementToParticipate-5.docx	Yes	Yes	Fillable Fileable
Form and Instruction	1457	Teen Data Collection Prior to Training	Form1457_RAPTevaluation-TeenDataCollectionPriorToTraining-5.docx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	7,500	7,500
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.