OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Youth - Screener

IC 236205 under ICR 202009-0910-007 · OMB 0910-0880.

Documents and Forms
Document Name
Document Type
Other-Parent-Youth Invitation Email
Other-Online Survey Youth Assent For
Information Collection (IC) Details

View Information Collection (IC)

Youth - Screener
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parent-Youth Invitation Email Appendix O HPHC2 Online Survey Parent-Youth Invitation_CLEAN.docx Yes Yes Fillable Fileable Signable
Other-Online Survey Youth Assent Form Appendix I HPHC2 Online Survey Youth Assent Form_CLEAN.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

6,000 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 6,000 0 0 0 0 6,000
Annual IC Time Burden (Hours) 300 0 0 0 0 300
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.