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

The Real Cost Monthly Implementation Assessment

OMB:

IC ID: 264358

Documents and Forms
Document Name
Document Type
Other-Parent screener ENGLISH
Other-Parent screener ENGLISH
Other-ENDS survey ENGLISH
Other-ENDS survey ENGLISH
Other-CIGS survey ENGLISH
Other-CIGS survey ENGLISH
Other-Screener and survey invitation
Other-Screener and survey invitation
Other-Parent/guardian permission ENG
Other-Parent/guardian permission ENG
Other-Youth assent ENGLISH
Other-Youth assent ENGLISH
Other-Young adult consent ENGLISH
Other-Young adult consent ENGLISH
Other-Parent reminder emails ENGLISH
Other-Parent reminder emails ENGLISH
Other-Participant reminder email 18+
Other-Participant reminder email 18+
Other-Parent screener SPANISH
Other-Parent screener SPANISH
Other-ENDS survey SPANISH
Other-ENDS survey SPANISH
Other-CIGS survey SPANISH
Other-CIGS survey SPANISH
Other-Screener and survey invitation
Other-Screener and survey invitation
Other-Parent/guardian permission SPA
Other-Parent/guardian permission SPA
Other-Youth assent SPANISH
Other-Youth assent SPANISH
Other-Young adult consent SPANISH
Other-Young adult consent SPANISH
Other-Parent reminder emails SPANISH
Other-Parent reminder emails SPANISH
Other-Participant reminder email 18+
Other-Participant reminder email 18+
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Screener, parent permission, invitation and reminder emails, assent, consent, survey CTP
 
No New
 
Voluntary
 

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

Health Consumer Health and Safety

 

2,434,557 0
   
Individuals or Households
 
   100 %

  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

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.
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