Youth Screener

Monthly Monitoring Study

OMB: 0910-0914

IC ID: 257905

Documents and Forms
Document Name
Document Type
Other-Monthly Monitoring Study ENDS
Other-Monthly Monitoring Study ENDS
Information Collection (IC) Details

View Information Collection (IC)

Youth Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Monthly Monitoring Study ENDS Screener/Survey Attachment 1. Monthly Monitoring Study_ENDS Survey.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

135,000 0
   
Individuals or Households
 
   100 %

  Approved 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 135,000 0 0 135,000 0 0
Annual IC Time Burden (Hours) 5,625 0 0 5,625 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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