Information Collection

Parent Of Youth Baseline Survey Participants

IC 208712 under ICR 202009-0910-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 21_E2d. Email Reminder 3 ExPECTT II FU 3-4_clean.docx	Other-Email Reminder 3 ExPECTT
Attachment 10_E2d Lead Letter ExPECTT II 3rd and 4th FU_clean.docx	Other-Lead Letter ExPECTT 2
Attachment 08_E2b. Study Description ExPECTT II_clean.docx	Other-Study Description
Attachment 11_E2b. Q&As about ExPECTT II_clean.docx	Other-Q&As about the ExPECTT Evaluat
Attachment 12_E2b. Telephone Verification Survey ExPECTT II FU 2-3_Clean.docx	Other-Telephone Verification Survey
Attachment 13_E2a Notifications ExPECTT_clean.docx	Other-Notifications ExPECTT
Attachment 15_E1 Panel Maintenance ExPECTT_clean.docx	Other-Panel Maintenance ExPECTT
Attachment 19_E2e. Email Reminder 1 ExPECTT II FU 3-4_clean.docx	Other-Email Reminder 1 ExPECTT (2) 1
Attachment 18_E2d. Survey Invitation Email ExPECTT II_clean.docx	Other-Survey Invitation-email ExPECT
Attachment 20_E2d. Email Reminder 2 ExPECTT II FU 3-4_clean.docx	Other-Email Reminder2 ExPECTT (2) 1s
Attachment 23_E2a. Email_reminder4 ExPECTT II FU 3-4_clean.docx	Other-Reminder Letter

IC Title:

Parent Of Youth Baseline Survey Participants

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Email Reminder 3 ExPECTT	Yes	No	Printable Only
Other-Lead Letter ExPECTT 2	No		Paper Only
Other-Study Description	No		Printable Only
Other-Q&As about the ExPECTT Evaluation	No		Paper Only
Other-Telephone Verification Survey ExPECTT	No		Printable Only
Other-Notifications ExPECTT	No		Paper Only
Other-Panel Maintenance ExPECTT	No		Paper Only
Other-Email Reminder 1 ExPECTT (2) 1st and 2nd FU	Yes	No	Printable Only
Other-Survey Invitation-email ExPECTT (2) 1st and 2nd FU	Yes	No	Printable Only
Other-Email Reminder2 ExPECTT (2) 1st and 2nd FU	Yes	No	Printable Only
Other-Reminder Letter	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,897

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	Previously Approved
Annual Number of Responses for this IC	6,897	6,897
Annual IC Time Burden (Hours)	1,338	1,338
Annual IC Cost Burden (Dollars)	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].