Youth Survey--Main: Baseline & Follow-ups

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

Documents and Forms

Document Name Document Type
Attachment 9. Youth Survey ExPECTT 3_FU 2_10-2024.docx Other-ENGLISH Youth Survey
Attachment 9. Youth Survey ExPECTT 3_SPA_FU2_10-2024.docx Other-SPANISH Youth Survey

Information Collection (IC) Details

IC Title:	Youth Survey--Main: Baseline & Follow-ups	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ENGLISH Youth Survey			Attachment 9. Youth Survey ExPECTT 3_FU 2_10-2024.docx		Yes	Yes	Fillable Printable
Other-SPANISH Youth Survey			Attachment 9. Youth Survey 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)	16,200	5,400	10,800
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.