Military Experiences, Risk and Protective Factors, and Adolescent Health and Well-Being

ICR 202110-0704-005

OMB: 0704-0635

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2022-01-05
Supplementary Document
2022-01-05
Supporting Statement A
2022-01-14
Supporting Statement B
2022-01-05
IC Document Collections
IC ID
Document
Title
Status
249739 New
249738 New
ICR Details
202110-0704-005
Received in OIRA
DOD/DODDEP 0704-AWBS
Military Experiences, Risk and Protective Factors, and Adolescent Health and Well-Being
New collection (Request for a new OMB Control Number)   No
Regular 01/19/2022
  Requested Previously Approved
36 Months From Approved
8,960 0
4,480 0
85,674 0

In partnership with the Millennium Cohort Program to assess the direct and indirect association of military experiences with adolescents’ psychosocial adjustment and physical health, academic achievement, and educational/military career aspirations to identify risk and protective factors that may promote or inhibit positive outcomes among military-connected adolescents and their families.

None
None

Not associated with rulemaking

  86 FR 58896 10/25/2021
87 FR 2421 01/14/2022
No

2
IC Title Form No. Form Name
Adolescent Survey
Parent Survey

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,960 0 0 8,960 0 0
Annual Time Burden (Hours) 4,480 0 0 4,480 0 0
Annual Cost Burden (Dollars) 85,674 0 0 85,674 0 0
Yes
Miscellaneous Actions
No
Burden increased due to a new collection with a new associated burden.

$636,140
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
LaTarsha Yeargins 571 372-2089 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/19/2022


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