OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Screener, parent permission, invitation and reminder emails, assent, consent, survey

IC 264358 under ICR 202401-0910-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment 1. Parent Screener_MIA Study Wave1.docx Other-Parent screener ENGLISH
Attachment 1. Parent Screener_MIA Study Wave1.docx Other-Parent screener ENGLISH
Attachment 2a. MIA Study Survey Current ENDS.docx Other-ENDS survey ENGLISH
Attachment 2a. MIA Study Survey Current ENDS.docx Other-ENDS survey ENGLISH
Attachment 2b. MIA Study Survey Current CIGS.docx Other-CIGS survey ENGLISH
Attachment 2b. MIA Study Survey Current CIGS.docx Other-CIGS survey ENGLISH
Attachment 3. Screener and Survey Invitation Email MIA Study Wave1.docx Other-Screener and survey invitation
Attachment 3. Screener and Survey Invitation Email MIA Study Wave1.docx Other-Screener and survey invitation
Attachment 4. Parent Guardian Permission MIA Study Wave1.docx Other-Parent/guardian permission ENG
Attachment 4. Parent Guardian Permission MIA Study Wave1.docx Other-Parent/guardian permission ENG
Attachment 5. Youth Assent MIA Study Wave1.docx Other-Youth assent ENGLISH
Attachment 5. Youth Assent MIA Study Wave1.docx Other-Youth assent ENGLISH
Attachment 6. Young Adult Consent MIA Study Wave1.docx Other-Young adult consent ENGLISH
Attachment 6. Young Adult Consent MIA Study Wave1.docx Other-Young adult consent ENGLISH
Attachment 7. Parent Reminder Emails MIA Study Wave1.docx Other-Parent reminder emails ENGLISH
Attachment 7. Parent Reminder Emails MIA Study Wave1.docx Other-Parent reminder emails ENGLISH
Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1.docx Other-Participant reminder email 18+
Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1.docx Other-Participant reminder email 18+
Attachment 1. Parent Screener MIA Study Wave1 Spanish Language.docx Other-Parent screener SPANISH
Attachment 1. Parent Screener MIA Study Wave1 Spanish Language.docx Other-Parent screener SPANISH
Attachment 2a. MIA Study Survey Current ENDS Spanish Language.docx Other-ENDS survey SPANISH
Attachment 2a. MIA Study Survey Current ENDS Spanish Language.docx Other-ENDS survey SPANISH
Attachment 2b. MIA Study Survey Current CIGS Spanish Language.docx Other-CIGS survey SPANISH
Attachment 2b. MIA Study Survey Current CIGS Spanish Language.docx Other-CIGS survey SPANISH
Attachment 3. Screener and Survey Invitation Email MIA Study Wave1 Spanish Language.docx Other-Screener and survey invitation
Attachment 3. Screener and Survey Invitation Email MIA Study Wave1 Spanish Language.docx Other-Screener and survey invitation
Attachment 4. Parent Guardian Permission_MIA Study_Wave1 Spanish Language.docx Other-Parent/guardian permission SPA
Attachment 4. Parent Guardian Permission_MIA Study_Wave1 Spanish Language.docx Other-Parent/guardian permission SPA
Attachment 5. Youth Assent MIA Study Wave1 Spanish Language.docx Other-Youth assent SPANISH
Attachment 5. Youth Assent MIA Study Wave1 Spanish Language.docx Other-Youth assent SPANISH
Attachment 6. Young Adult Consent MIA Study Wave1 Spanish Language.docx Other-Young adult consent SPANISH
Attachment 6. Young Adult Consent MIA Study Wave1 Spanish Language.docx Other-Young adult consent SPANISH
Attachment 7. Parent Reminder Emails MIA Study Wave1 Spanish Language.docx Other-Parent reminder emails SPANISH
Attachment 7. Parent Reminder Emails MIA Study Wave1 Spanish Language.docx Other-Parent reminder emails SPANISH
Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1 Spanish Language.docx Other-Participant reminder email 18+
Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1 Spanish Language.docx Other-Participant reminder email 18+
MacMonegle Protocol Initial Approval with Modifications Notice Oct1323.pdf
IRB		IC Document
MacMonegle Protocol Initial Approval with Modifications Notice Oct1323.pdf
IRB		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Parent screener ENGLISH Attachment 1. Parent Screener_MIA Study Wave1.docx Yes Yes Fillable Fileable
Other-ENDS survey ENGLISH Attachment 2a. MIA Study Survey Current ENDS.docx Yes Yes Fillable Fileable
Other-CIGS survey ENGLISH Attachment 2b. MIA Study Survey Current CIGS.docx Yes Yes Fillable Fileable
Other-Screener and survey invitation ENGLISH Attachment 3. Screener and Survey Invitation Email MIA Study Wave1.docx Yes Yes Fillable Fileable
Other-Parent/guardian permission ENGLISH Attachment 4. Parent Guardian Permission MIA Study Wave1.docx Yes Yes Fillable Fileable
Other-Youth assent ENGLISH Attachment 5. Youth Assent MIA Study Wave1.docx Yes Yes Fillable Fileable
Other-Young adult consent ENGLISH Attachment 6. Young Adult Consent MIA Study Wave1.docx Yes Yes Fillable Fileable
Other-Parent reminder emails ENGLISH Attachment 7. Parent Reminder Emails MIA Study Wave1.docx Yes No Printable Only
Other-Participant reminder email 18+ ENGLISH Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1.docx Yes No Printable Only
Other-Parent screener SPANISH Attachment 1. Parent Screener MIA Study Wave1 Spanish Language.docx Yes Yes Fillable Fileable
Other-ENDS survey SPANISH Attachment 2a. MIA Study Survey Current ENDS Spanish Language.docx Yes Yes Fillable Fileable
Other-CIGS survey SPANISH Attachment 2b. MIA Study Survey Current CIGS Spanish Language.docx Yes Yes Fillable Fileable
Other-Screener and survey invitation SPANISH Attachment 3. Screener and Survey Invitation Email MIA Study Wave1 Spanish Language.docx Yes Yes Fillable Fileable
Other-Parent/guardian permission SPANISH Attachment 4. Parent Guardian Permission_MIA Study_Wave1 Spanish Language.docx Yes Yes Fillable Fileable
Other-Youth assent SPANISH Attachment 5. Youth Assent MIA Study Wave1 Spanish Language.docx Yes Yes Fillable Fileable
Other-Young adult consent SPANISH Attachment 6. Young Adult Consent MIA Study Wave1 Spanish Language.docx Yes Yes Fillable Fileable
Other-Parent reminder emails SPANISH Attachment 7. Parent Reminder Emails MIA Study Wave1 Spanish Language.docx Yes No Printable Only
Other-Participant reminder email 18+ SPANISH Attachment 8. Participant Reminder Emails 18+ MIA Study Wave1 Spanish Language.docx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 29,214,684 0 29,214,684 0 0 0
Annual IC Time Burden (Hours) 237,866 0 237,866 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
IRB MacMonegle Protocol Initial Approval with Modifications Notice Oct1323.pdf 01/26/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.