Youth Assent--Main: Baseline & Follow-up waves

The Real Cost Campaign Outcomes Evaluation Study: Cohort 3 (Outcomes Study)

Documents and Forms

Document Name Document Type
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_FU2_10-2024.docx Other-ENGLISH Youth Assent 11 to 13
Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_SPA_FU2_10-2024.docx Other-SPANISH Youth Assent 11 to 13
Attachment 5b. Youth Assent 14+ ExPECTT 3_FU2_10-2024.docx Other-ENGLISH Youth Assent 14+
Attachment 5b. Youth Assent 14+ ExPECTT 3_SPA_FU2_10-2024.docx Other-SPANISH Youth Assent 14+
Attachment 6. Young Adult Consent ExPECTT 3_FU2_10-2024.docx Other-ENGLISH Young Adult Consent Ex
Attachment 6. Young Adult Consent ExPECTT 3_SPA_FU2_10-2024.docx Other-SPANISH Young Adult Consent Ex

Information Collection (IC) Details

IC Title:	Youth Assent--Main: Baseline & Follow-up waves	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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_FU2_10-2024.docx	Yes	Yes	Fillable Printable
Other-SPANISH Youth Assent 11 to 13	Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_SPA_FU2_10-2024.docx	Yes	Yes	Fillable Printable
Other-ENGLISH Youth Assent 14+	Attachment 5b. Youth Assent 14+ ExPECTT 3_FU2_10-2024.docx	Yes	Yes	Fillable Printable
Other-SPANISH Youth Assent 14+	Attachment 5b. Youth Assent 14+ ExPECTT 3_SPA_FU2_10-2024.docx	Yes	Yes	Fillable Printable
Other-ENGLISH Young Adult Consent ExPECTT 3 Baseline	Attachment 6. Young Adult Consent ExPECTT 3_FU2_10-2024.docx	Yes	Yes	Fillable Printable
Other-SPANISH Young Adult Consent ExPECTT 3 Baseline	Attachment 6. Young Adult Consent ExPECTT 3_SPA_FU2_10-2024.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: 32,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32,400	10,800	21,600
Annual IC Time Burden (Hours)	2,592	864	1,728
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.