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Information Collection

Youth Mail Screener - Outcome Survey

IC 215941 under ICR 201901-0910-003 · OMB 0910-0788.

Documents and Forms
Document Name
Document Type
Other-Outcome Mail Screener
Information Collection (IC) Details

View Information Collection (IC)

Youth Mail Screener - Outcome Survey
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Outcome Mail Screener Attachment 02_Outcome Mail Screener_FU4.docx No   Paper Only

Health Consumer Health and Safety

 

23,685 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 0 -23,685 0 23,685
Annual IC Time Burden (Hours) 0 0 0 -1,973 0 1,973
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.