Information Collection

General Population Screener and Consent Process (Youth and Parent)

IC 208707 under ICR 202204-0910-007 · OMB 0910-0753.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 6_E2b3. Parent Permission ExPECTT II FU 3-4_clean.docx	Other-Parent Permission ExPECTT FU
Attachment 6_E2b3. Parent Permission ExPECTT II FU 3-4_clean.docx	Other-Parent Permission ExPECTT FU

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Parent Permission ExPECTT FU					Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,270

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,270	6,270
Annual IC Time Burden (Hours)	784	784
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.

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