Information Collection

First Follow-Up Survey Supplement for Caregivers of Adolescents

IC 255809 under ICR 202208-0920-007 · OMB 0920-1392.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1392 can be found here:

Documents and Forms

Document Name Document Type
Form 0920 First Follow-Up Survey Supplement for Caregivers of Adolescents Form
0920 First Follow-up Survey Supplement for Caregivers of Adol Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf Form
0920 First Follow-up Survey Supplement for Caregivers of Adol Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	First Follow-Up Survey Supplement for Caregivers of Adolescents	Agency IC Tracking Number:	0920-21IK

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	0920	First Follow-up Survey Supplement for Caregivers of Adolescents	Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 411	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	411	411
Annual IC Time Burden (Hours)	137	137
Annual IC Cost Burden (Dollars)	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.