OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Promising Themes Study

IC 255038 under ICR 202211-0910-008 · OMB 0910-0810.

Documents and Forms
Document Name
Document Type
Other-Youth assent
Other-Youth assent
Other-Adult consent
Other-Adult consent
Other-Screener Survey
Other-Screener Survey
Other-Recruitment ads
Other-Recruitment ads
Other-IRB
Other-IRB
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Promising Themes Study CTP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Youth assent 1. Promising Themes Youth Assent.docx Yes Yes Fillable Fileable
Other-Adult consent 2. Promising Themes Adult Consent.docx Yes Yes Fillable Fileable
Other-Screener Survey 3. Promising Themes LCC Screener Survey.docx Yes Yes Fillable Fileable
Other-Recruitment ads 4. Promising Themes Recruitment Ads.docx Yes Yes Printable Only
Other-IRB Duke Version 4 and ICF Modification Approval Notice 6-9-22.pdf Yes No Printable Only

Health Consumer Health and Safety

 

4,000 0
   
Individuals or Households
 
   100 %

  Requested 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 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 1,022 0 0 0 0 1,022
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting statement Part A Promising Themes SS part A Promising Themes 8-3-22.docx 08/03/2022
Supporting statement Part B Promising Themes SS part B Promising Themes 8-3-22.docx 08/03/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.