Information Collection Request

Teen and Parent Surveys of Health (TAPS)

ICR 202110-0920-002 · OMB 0920-1362 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Adolescent Survey of Health 2021 Form and Instruction New Available
Adolescent 18-19 yo Survey Form and Instruction New Available
Adolescent Survey of Health 2021 Form and Instruction New Available
Adolescent 15-17 yo Survey Form and Instruction New Repair queued
Parent Survey of Health 2021 Form and Instruction New Available
Adult/Caregiver Survey Form and Instruction New Available
Att 21 Parent Survey Reminder Letter.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 20 Parent Survey Invitation Letter.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 19 Teen Survey Final Reminder Letter.docx Supplementary Document Uploaded 2021-10-15 Available
Att 18 Teen Survey Reminder Letter.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 17 Teen Survey Invitation Letter.docx Supplementary Document Uploaded 2021-10-15 Available
Att 16 Parent survey recruitment emails.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 15 Teen Survey Recruitment Emails.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 14 SMS Prompts.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 13 Phone Script.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 12 AmeriSpeak Technical Overview.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 9 NORC IRB Amendment Approval Letter.pdf Supplementary Document Uploaded 2021-10-15 Repair queued
Att 8 NORC IRB Approval Letter.pdf Supplementary Document Uploaded 2021-10-15 Repair queued
Att 7 NAHS AmeriSpeak Teen Survey Assent.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 6 NAHS AmeriSpeak Parent Survey Consent_final.docx Supplementary Document Uploaded 2021-10-15 Repair queued
Att 5 PIA_TAPS.pdf Supplementary Document Uploaded 2021-10-15 Repair queued
Att 2 60 Day published 7-2-2021 21GA.pdf Supplementary Document Uploaded 2021-10-15 Repair queued
Att 1 PHSA.pdf Supplementary Document Uploaded 2021-10-15 Repair queued
SSB_final.docx Supporting Statement B Uploaded 2021-10-15 Available
DASH_TAPS SSA_clean_ 101221.docx Supporting Statement A Uploaded 2021-10-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249761 Adolescent 18-19 yo Survey Form and Instruction NewAdolescent Survey of Health 2021
249761 Adolescent 18-19 yo Survey Form and Instruction New
249757 Adolescent 15-17 yo Survey Form and Instruction NewAdolescent Survey of Health 2021
249757 Adolescent 15-17 yo Survey Form and Instruction New
249756 Adult/Caregiver Survey Form and Instruction NewParent Survey of Health 2021
249756 Adult/Caregiver Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2024 24 Months From Approved
4,134 0 0
1,378 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Adolescent 15-17 yo Survey N/A
Adolescent 18-19 yo Survey N/A
Adult/Caregiver Survey N/A

table that charts list of burden
  Total Approved 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 4,134 0 0 4,134 0 0
Annual Time Burden (Hours) 1,378 0 0 1,378 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No