Information Collection

Cohort 2--Youth Assent

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-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 %

table that charts list of burden
	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

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.