Youth Survey--Supplemental: Baseline & Follow-up Waves

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 ExPECTT 3
Attachment 9. Youth Survey ExPECTT 3_SPA_FU2_10-2024.docx Other-SPANISH Youth Survey ExPECTT 3

Information Collection (IC) Details

IC Title:	Youth Survey--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-ENGLISH Youth Survey ExPECTT 3 Baseline			Attachment 9. Youth Survey ExPECTT 3_FU 2_10-2024.docx		Yes	Yes	Fillable Printable
Other-SPANISH Youth Survey ExPECTT 3_Baseline			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: 5,534	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	5,534	1,106	4,428
Annual IC Time Burden (Hours)	2,767	553	2,214
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.