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Federal forms, ICRs, and supporting documents

Information Collection

Adolescent 18-19 yo Survey

IC 249761 under ICR 202110-0920-002 · OMB 0920-1362.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Adolescent 18-19 yo Survey 0920-21GA
 
No New
 
Voluntary
 

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

Health Illness Prevention

 

600 0
   
Individuals or Households
 
   98 %

  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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.