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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Monthly Monitoring Study (CTP)

Agency IC Tracking Number:

CTP

IC Status: New

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-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 %

table that charts list of burden
	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

table that charts IC Documents
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.