Information Collection

Cohort 2--Youth Assent

IC 222019 under ICR 202204-0910-007 · OMB 0910-0753.

Documents and Forms

Document Name Document Type
Attachment 6_E2c2. Youth Assent under 18 ExPECTT II_clean.docx Other-Youth Assent under 18
Attachment 6_E2c2. Youth Assent under 18 ExPECTT II_clean.docx Other-Youth Assent under 18

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cohort 2--Youth Assent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Youth Assent under 18			Attachment 6_E2c2. Youth Assent under 18 ExPECTT II_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,135	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,135	-2,739	5,874
Annual IC Time Burden (Hours)	251	-219	470
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.