Information Collection

Feedback for the Adolescent Development Products and We Think Twice™ Digital Media Campaign

IC 263842 under ICR 202403-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - Insider Registration Questions_V3.docx	Other-Registration
Appendix A - Insider Registration Questions_V3.docx	Other-Registration
Appendix E -Insider Activities for OMB_120623.docx	Other-Feedback Activities
Appendix E -Insider Activities for OMB_120623.docx	Other-Feedback Activities
fast-track-PRA-submission-short-form_OMB__Remote Testing_120823_fnl.docx FastTrack GenIC - Feedback for the Adolescent Development Products and We Think Twice™ Digital Media Campaign	IC Document
fast-track-PRA-submission-short-form_OMB__Remote Testing_120823_fnl.docx FastTrack GenIC - Feedback for the Adolescent Development Products and We Think Twice™ Digital Media Campaign	IC Document
Appendix C - Insider Parent Consent Form_OMB_120623.docx Appendix C - Insider Parent Consent Form	IC Document
Appendix C - Insider Parent Consent Form_OMB_120623.docx Appendix C - Insider Parent Consent Form	IC Document
Appendix D -Insider Youth Assent Form__OMB_120623.docx Appendix D - Insider Youth Assent Form	IC Document
Appendix D -Insider Youth Assent Form__OMB_120623.docx Appendix D - Insider Youth Assent Form	IC Document

IC Title:

Feedback for the Adolescent Development Products and We Think Twiceâ¢ Digital Media Campaign

Agency IC Tracking Number:

FYSB

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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-Registration			Appendix A - Insider Registration Questions_V3.docx		Yes	Yes	Fillable Fileable
Other-Feedback Activities			Appendix E -Insider Activities for OMB_120623.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,250	5,250
Annual IC Time Burden (Hours)	1,755	1,755
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - Feedback for the Adolescent Development Products and We Think Twiceâ¢ Digital Media Campaign	fast-track-PRA-submission-short-form_OMB__Remote Testing_120823_fnl.docx	12/08/2023
Appendix C - Insider Parent Consent Form	Appendix C - Insider Parent Consent Form_OMB_120623.docx	12/08/2023
Appendix D - Insider Youth Assent Form	Appendix D -Insider Youth Assent Form__OMB_120623.docx	12/08/2023

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