Information Collection

Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study

IC 258947 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Teen Screener Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 2 Teen Assent Form Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 3 Teen Consent Form Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 4 Teen Pre-Discussion Survey Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 5 Teen Pre-Discussion Survey Screenshots Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 6 Teen Moderators Guide Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 7 Parent/Caregiver Screener Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 8 Parent Consent Form Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
Form 9 Parent Moderators Guide Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study	Form and Instruction
AttI_ABCD Study 7YFP Parent Moderators - SPANISH Rev030623.docx	Other-Parent Moderators Guide Spanis
AttB_ABCD_Parent_Screener_Y7_SPANISH_Rev030623.docx	Other-Parent/Caregiver Screener, Spa
AttE_Y7_ABCD_Parent_Consent_Form_Parent_SPANISH_Rev030623.docx	Other-Parent Consent Form Spanish Ve
1 Teen Screener AttC_ABCD_Teen_screener - Y7_Rev03623.docx	Form and Instruction
2 Teen Assent Form AttF_Y7_ABCD_Teen_Assent_Form_Rev030623.docx	Form and Instruction
3 Teen Consent Form AttG_Y7_ABCD_Teen_18_CONSENT_Form_Rev030623.docx	Form and Instruction
4 Teen Pre-Discussion Survey AttJ_ABCD Study 7YFP Teen pre-discussion survey_Rev030623.docx	Form and Instruction
5 Teen Pre-Discussion Survey Screenshots AttK_ABCD Study 7YFP Teen pre-discussion survey screenshots_Rev030623.docx	Form and Instruction
6 Teen Moderators Guide AttL_ABCD Study 7YFP Teen Moderators Guide_Rev030623.docx	Form and Instruction
7 Parent/Caregiver Screener AttA_ABCD_Parent_Screener_Y7_Rev030623.docx	Form and Instruction
8 Parent Consent Form AttD_Y7_ABCD_Parent_Consent_Form_Parent_English_Rev030623.docx	Form and Instruction
9 Parent Moderators Guide AttH_ABCD Study 7YFP Parent Moderators - Final English Rev030623.docx	Form and Instruction
Mini SSA for Citizen Science - ABCD Y7 Audience Research Rev 030723 Clean.docx Mini SSA	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Audience Feedback to Inform the 7th Year Follow-Up Protocol of the Adolescent Brain and Cognitive Development (ABCD) Study

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Yes	Yes	Fillable Fileable
Form and Instruction	2	Yes	Yes	Fillable Fileable
Form and Instruction	3	Yes	Yes	Fillable Fileable
Form and Instruction	4	Yes	Yes	Fillable Fileable
Form and Instruction	5	Yes	Yes	Fillable Fileable
Form and Instruction	6	Yes	Yes	Fillable Fileable
Other-Parent Moderators Guide Spanish Version		Yes	Yes	Fillable Fileable
Form and Instruction	7	Yes	Yes	Fillable Fileable
Other-Parent/Caregiver Screener, Spanish		Yes	Yes	Fillable Fileable
Form and Instruction	8	Yes	Yes	Fillable Fileable
Other-Parent Consent Form Spanish Version		Yes	Yes	Fillable Fileable
Form and Instruction	9	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 276

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
Annual Number of Responses for this IC	276	276
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA		03/08/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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