Information Collection

Monthly Monitoring Study (CTP)

IC 244562 under ICR 201907-0910-006 · OMB 0910-0810.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0810 can be found here:

Documents and Forms

Document Name Document Type
Attachment 1 - Screener - ENDS.docx Other-Screener - ENDS
Attachment 2 - Screener - LCC.docx Other-Screener - LCC
Attachment 3 - Youth Assent - ENDS.docx Other-Youth Assent - ENDS
Attachment 4 - Youth Assent - LCC.docx Other-Youth Assent - LCC
Attachment 5 - Young Adult Consent - ENDS.docx Other-Young Adult Consent - ENDS
Attachment 6 - Young Adult Consent - LCC.docx Other-Young Adult Consent - LCC
0810 OMB GenIC Memo Part A Supporting Statement - Monthly Monitoring Study 2020.docx OMB approval memo IC Document
0810 OMB GenIC Memo Part B Supporting Statement - Monthly Monitoring Study 2020.docx OMB approval memo Part B IC Document
RTI IRB Letter.pdf Approval Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Monthly Monitoring Study (CTP)	Agency IC Tracking Number:	CTP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener - ENDS	Attachment 1 - Screener - ENDS.docx	Yes	Yes	Fillable Fileable
Other-Screener - LCC	Attachment 2 - Screener - LCC.docx	Yes	Yes	Fillable Fileable
Other-Youth Assent - ENDS	Attachment 3 - Youth Assent - ENDS.docx	Yes	Yes	Fillable Fileable
Other-Youth Assent - LCC	Attachment 4 - Youth Assent - LCC.docx	Yes	Yes	Fillable Fileable
Other-Young Adult Consent - ENDS	Attachment 5 - Young Adult Consent - ENDS.docx	Yes	Yes	Fillable Fileable
Other-Young Adult Consent - LCC	Attachment 6 - Young Adult Consent - LCC.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: 42,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42,000	42,000
Annual IC Time Burden (Hours)	6,826	6,826
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval memo	0810 OMB GenIC Memo Part A Supporting Statement - Monthly Monitoring Study 2020.docx	11/19/2020
OMB approval memo Part B	0810 OMB GenIC Memo Part B Supporting Statement - Monthly Monitoring Study 2020.docx	11/19/2020
Approval Letter	RTI IRB Letter.pdf	11/19/2020

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