Information Collection

Recruitment Study Materials--Main: Baseline Recruitment & Follow-up 2 Replenishment

IC 257637 under ICR 202312-0910-008 · OMB 0910-0915.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment 3. Postcards ExPECTT 3_BL_FU.docx Other-ENGLISH Postcards
Attachment 3. Postcards ExPECTT 3_BL_FU.docx Other-ENGLISH Postcards
Attachment 3. Postcards ExPECTT 3_BL_FU_KRC_SPA_FINAL.docx Other-SPANISH Postcards
Attachment 3. Postcards ExPECTT 3_BL_FU_KRC_SPA_FINAL.docx Other-SPANISH Postcards
Attachment 11a. Initial Lead Letter ExPECTT_BL_FU.docx Other-ENGLISH : Initial Lead Letter
Attachment 11a. Initial Lead Letter ExPECTT_BL_FU.docx Other-ENGLISH : Initial Lead Letter
Attachment 11a. Initial Lead Letter ExPECTT 3_BL_FU_SPA_FINAL.docx Other-SPANISH : Initial Lead Letter
Attachment 11a. Initial Lead Letter ExPECTT 3_BL_FU_SPA_FINAL.docx Other-SPANISH : Initial Lead Letter
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx Other-ENGLISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx Other-ENGLISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx Other-SPANISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx Other-SPANISH PAPI Lead Letter ExPEC
Attachment 14. Incentive Thank You Letter ExPECTT 3_BL_FU.docx Other-ENGLISH Incentive Thank You Le
Attachment 14. Incentive Thank You Letter ExPECTT 3_BL_FU.docx Other-ENGLISH Incentive Thank You Le
Attachment 14a. Incentive Thank You Letter ExPECTT 3_BL_FU_SPA_FINAL.docx Other-SPANISH Incentive Thank You Le
Attachment 14a. Incentive Thank You Letter ExPECTT 3_BL_FU_SPA_FINAL.docx Other-SPANISH Incentive Thank You Le
Attachment 15. Email_reminders_ExPECTT3_BL_FU.docx Other-ENGLISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_BL_FU.docx Other-ENGLISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_BL_FU_SPA_FINAL.docx Other-SPANISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_BL_FU_SPA_FINAL.docx Other-SPANISH Email Reminders ExPECT
Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Other-Recruitment Ads ExPECTT 3 Base
Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Other-Recruitment Ads ExPECTT 3 Base
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2.docx Other-ENGLISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2.docx Other-ENGLISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2 Rep_SPA_FINAL.docx Other-SPANISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2 Rep_SPA_FINAL.docx Other-SPANISH Eligibility Email ExPE
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU2 Rep.docx Other-ENGLISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU2 Rep.docx Other-ENGLISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU Rep_SPA_FINAL.docx Other-SPANISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU Rep_SPA_FINAL.docx Other-SPANISH Eligibility Letter ExP
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU .docx Other-ENGLISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU .docx Other-ENGLISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU_SPA_FINAL.docx Other-SPANISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_BL_FU_SPA_FINAL.docx Other-SPANISH Questions and Answers
Attachment 23. Invitation Emails ExPECTT 3_Baseline (New).docx Other-ENGLISH Invitation Emails ExPE
Attachment 23. Invitation Emails ExPECTT 3_Baseline (New).docx Other-ENGLISH Invitation Emails ExPE
Attachment 23. Invitation Emails ExPECTT 3_Baseline_SPA (New).docx Other-SPANISH Invitation Emails ExPE
Attachment 23. Invitation Emails ExPECTT 3_Baseline_SPA (New).docx Other-SPANISH Invitation Emails ExPE
Attachment 10_Text Message Reminder_Parent&Youth clean.docx Other-Text Message Reminder
Attachment 10_Text Message Reminder_Parent&Youth clean.docx Other-Text Message Reminder

Information Collection (IC) Details

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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-ENGLISH Postcards Attachment 3. Postcards ExPECTT 3_BL_FU.docx No   Paper Only
Other-SPANISH Postcards Attachment 3. Postcards ExPECTT 3_BL_FU_KRC_SPA_FINAL.docx No   Paper Only
Other-ENGLISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) Attachment 11a. Initial Lead Letter ExPECTT_BL_FU.docx No   Paper Only
Other-SPANISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) Attachment 11a. Initial Lead Letter ExPECTT 3_BL_FU_SPA_FINAL.docx No   Paper Only
Other-ENGLISH PAPI Lead Letter ExPECTT Baseline Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx No   Paper Only
Other-SPANISH PAPI Lead Letter ExPECTT Baseline Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14. Incentive Thank You Letter ExPECTT 3_BL_FU.docx No   Paper Only
Other-SPANISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14a. Incentive Thank You Letter ExPECTT 3_BL_FU_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_BL_FU.docx Yes Yes Fillable Printable
Other-SPANISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_BL_FU_SPA_FINAL.docx Yes Yes Fillable Printable
Other-Recruitment Ads ExPECTT 3 Baseline Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Yes No Printable Only
Other-ENGLISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2.docx Yes Yes Fillable Printable
Other-SPANISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_Baseline and FU2 Rep_SPA_FINAL.docx Yes Yes Fillable Printable
Other-ENGLISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU2 Rep.docx No   Paper Only
Other-SPANISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_Baseline and FU Rep_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study_BL_FU .docx No   Paper Only
Other-SPANISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study_BL_FU_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Invitation Emails ExPECTT 3 Baseline Attachment 23. Invitation Emails ExPECTT 3_Baseline (New).docx Yes Yes Printable Only
Other-SPANISH Invitation Emails ExPECTT 3 Baseline Attachment 23. Invitation Emails ExPECTT 3_Baseline_SPA (New).docx Yes No Printable Only
Other-Text Message Reminder Attachment 10_Text Message Reminder_Parent&Youth clean.docx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 475,000 0 0 -70,000 0 545,000
Annual IC Time Burden (Hours) 71,250 0 0 -21,400 0 92,650
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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