Adolescent 15-17 yo Survey

Teen and Parent Surveys of Health (TAPS)

Documents and Forms

Document Name Document Type
Adolescent 15-17 yo Survey Form and Instruction
Adolescent Survey of Health 2021 Att 10 Adolescent Survey.docx Form and Instruction
Adolescent Survey of Health 2021 Att 10 Adolescent Survey.docx Form and Instruction
Att 4 TAPS Teen Survey Screenshots.docx Teen Survey Screenshots IC Document
Att 4 TAPS Teen Survey Screenshots.docx Teen Survey Screenshots IC Document

Information Collection (IC) Details

IC Title:	Adolescent 15-17 yo Survey	Agency IC Tracking Number:	0920-21GA

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Adolescent Survey of Health 2021	Att 10 Adolescent Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Teen Survey Screenshots	Att 4 TAPS Teen Survey Screenshots.docx	10/15/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.