Information Collection

Youth Assent--Main: Baseline & Follow-up 1,2,3

IC 257759 under ICR 202312-0910-008 · OMB 0910-0915.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0915 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_OMB.docx	Other-ENGLISH Youth Assent 11 to 13
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_OMB.docx	Other-ENGLISH Youth Assent 11 to 13
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_SPA_FINAL.docx	Other-SPANISH Youth Assent 11 to 13
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_SPA_FINAL.docx	Other-SPANISH Youth Assent 11 to 13
Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline.docx	Other-ENGLISH Youth Assent 14+
Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline.docx	Other-ENGLISH Youth Assent 14+
Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Other-SPANISH Youth Assent 14+
Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Other-SPANISH Youth Assent 14+
Attachment 6. Young Adult Consent ExPECTT 3_Baseline.docx	Other-ENGLISH Young Adult Consent Ex
Attachment 6. Young Adult Consent ExPECTT 3_Baseline.docx	Other-ENGLISH Young Adult Consent Ex
Attachment 6. Young Adult Consent ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Other-SPANISH Young Adult Consent Ex
Attachment 6. Young Adult Consent ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Other-SPANISH Young Adult Consent Ex

IC Title:

Youth Assent--Main: Baseline & Follow-up 1,2,3

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ENGLISH Youth Assent 11 to 13	Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_OMB.docx	Yes	Yes	Fillable Printable
Other-SPANISH Youth Assent 11 to 13	Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_SPA_FINAL.docx	Yes	Yes	Fillable Printable
Other-ENGLISH Youth Assent 14+	Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline.docx	Yes	Yes	Fillable Printable
Other-SPANISH Youth Assent 14+	Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Yes	Yes	Fillable Printable
Other-ENGLISH Young Adult Consent ExPECTT 3 Baseline	Attachment 6. Young Adult Consent ExPECTT 3_Baseline.docx	Yes	Yes	Fillable Printable
Other-SPANISH Young Adult Consent ExPECTT 3 Baseline	Attachment 6. Young Adult Consent ExPECTT 3_Baseline_SPA_FINAL_rev.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	21,600	21,600
Annual IC Time Burden (Hours)	1,728	1,728
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.