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Information Collection

Cross-Sectional Youth Refresher Sample, Post-test and Assent/Consent Process - Outcome Surveys 1-5

IC 215945 under ICR 201901-0910-003 · OMB 0910-0788.

Documents and Forms
Document Name
Document Type
Other-Post Campaign Instrument
Other-Verification Call Script
Other-Informed Consent Longitudinal
Other-Youth Assent Cross Sectional A
Other-Youth Assent Cross Sectional A
Information Collection (IC) Details

View Information Collection (IC)

Cross-Sectional Youth Refresher Sample, Post-test and Assent/Consent Process - Outcome Surveys 1-5
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Campaign Instrument Attachment 01_EFECT_Post_Campaign_Instrument_FU5.docx Yes Yes Fillable Fileable
Other-Verification Call Script Attachment 17_Verification Call Script_Age 13-17_FU5.docx No   Printable Only
Other-Informed Consent Longitudinal Age 18 (Household) Attachment 05b_Informed Consent_Longitudinal Age 18_Household_FU5.docx No   Paper Only
Other-Youth Assent Cross Sectional Age 15 - 17 Social Media (Web) Attachment 05e_Youth Assent_Cross Sectional Age 15 - 17_Social Media_Web_FU5.docx Yes Yes Fillable Printable
Other-Youth Assent Cross Sectional Age 13 - 14 Social Media (Web) Attachment 05f_Youth Assent_Cross Sectional Age 13 - 14_Social Media_Web_FU5.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

4,920 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 4,920 0 0 0 0 4,920
Annual IC Time Burden (Hours) 3,690 0 0 0 0 3,690
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.