OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Youth Screener--Supplemental

IC 257761 under ICR 202410-0910-004 · OMB 0910-0915.

Documents and Forms
Document Name
Document Type
Other-Social Media_Screener ExPECTT3
Information Collection (IC) Details

View Information Collection (IC)

Youth Screener--Supplemental
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Social Media_Screener ExPECTT3 Baseline Attachment 16. Social Media_Screener_ExPECTT3_Baseline.docx Yes No Printable Only

Health Consumer Health and Safety

 

5,000 0
   
Individuals or Households
 
   99 %

  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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 400 0 0 0 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.