Military Experiences, Risk and Protective Factors, and Adolescent Health and Well-Being

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
TAB D_N06500-1_Preamble SORN_5.23.2023 RR.docx	Supplementary Document	Uploaded 2024-05-01	Repair queued
Adolescent Follow-Up Invitation Graphic_stamped_08FEB2024.pdf	Supplementary Document	Uploaded 2024-04-15	Repair queued
NHRC.2021.0018 HIPAA Authorization_stamped_approved 08FEB2024.pdf	Supplementary Document	Uploaded 2024-04-15	Repair queued
Adolescent Follow-Up Recruitment Emails_stamped_approved 08FEB2024.pdf	Supplementary Document	Uploaded 2024-04-15	Repair queued
NHRC.2021.0018 Informed Consent - Adolescent 18+_stamped_08FEB2024.pdf	Supplementary Document	Uploaded 2024-04-15	Repair queued
0704-0635_SSA_5.20.2024.docx	Supporting Statement A	Uploaded 2024-05-20	Repair queued
0704-0635_SSB_4.15.2024.docx	Supporting Statement B	Uploaded 2024-04-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249739	SOAR Adolescent Follow Up Survey	Other-Survey	Modified
249738	Parent Survey	Other-Survey	Removed

ICR Details

OMB Control No: 0704-0635	ICR Reference No: 202404-0704-006
Status: Active	Previous ICR Reference No: 202110-0704-005
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Military Experiences, Risk and Protective Factors, and Adolescent Health and Well-Being
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/09/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2024
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved	08/31/2025
Responses	3,776	0	8,960
Time Burden (Hours)	1,888	0	4,480
Cost Burden (Dollars)	13,688	0	85,674

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Abstract: In partnership with the Millennium Cohort Program to assess the direct and indirect association of military experiences with adolescents’ psychosocial adjustment and physical health, academic achievement, and educational/military career aspirations to identify risk and protective factors that may promote or inhibit positive outcomes among military-connected adolescents and their families.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 1085	01/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 43829	05/20/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Parent Survey
SOAR Adolescent Follow Up Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,776	8,960	0	576	-5,760	0
Annual Time Burden (Hours)	1,888	4,480	0	288	-2,880	0
Annual Cost Burden (Dollars)	13,688	85,674	0	2,088	-74,074	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has decreased since the previous approval due to the elimination of the parent survey. This collection effort is only for adolescent participants.

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Annual Cost to Federal Government: $616,700

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/20/2024

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