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Youth Assent--Supplemental: Baseline & Follow-up waves
The Real Cost Campaign Outcomes Evaluation Study: Cohort 3 (Outcomes Study)
OMB: 0910-0915
IC ID: 257763
OMB.report
HHS/FDA
OMB 0910-0915
ICR 202410-0910-004
IC 257763
( )
Documents and Forms
Document Name
Document Type
Attachment 7. Social Media Study ExPECTT 3 Youth Assent.docx
Other-Social Media Study ExPECTT 3 Y
Attachment 8. Social Media Study ExPECTT 3 Young Adult Consent.docx
Other- Social Media Study ExPECTT 3
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Youth Assent--Supplemental: 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
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Social Media Study ExPECTT 3 Youth Assent
Attachment 7. Social Media Study ExPECTT 3 Youth Assent.docx
Yes
Yes
Fillable Printable
Other- Social Media Study ExPECTT 3 Young Adult Consent
Attachment 8. Social Media Study ExPECTT 3 Young Adult Consent.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,534
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
5,534
0
0
1,106
0
4,428
Annual IC Time Burden (Hours)
443
0
0
89
0
354
Annual IC Cost Burden (Dollars)
0
0
0
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.