Information Collection

Cohort 2--Youth Aged 11 to 18

IC 222024 under ICR 201907-0910-024 · OMB 0910-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 6_E2a. Routing for Consent ExPECTT.doc	Other-Routing for Consent ExPECTT
Attachment 6_E2d. Youth Consent 18 and up ExPECTT II.docx	Other-Youth Consent 18 and up ExPECT
Attachment 2. ExPECTT II Youth Instrument_2nd follow-up.docx	Other-ExPECTT II Youth Instrument 2n

IC Title:

Cohort 2--Youth Aged 11 to 18

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Routing for Consent ExPECTT	Attachment 6_E2a. Routing for Consent ExPECTT.doc	Yes	Yes	Fillable Fileable
Other-Youth Consent 18 and up ExPECTT	Attachment 6_E2d. Youth Consent 18 and up ExPECTT II.docx	No		Paper Only
Other-ExPECTT II Youth Instrument 2nd follow-up	Attachment 2. ExPECTT II Youth Instrument_2nd follow-up.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,666

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,666	396	6,270
Annual IC Time Burden (Hours)	4,735	32	4,703
Annual IC Cost Burden (Dollars)	0	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.