Information Collection

Teen Web Survey

IC 264295 under ICR 202501-0925-002 · OMB 0925-0781.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Teen Web Survey	Form
Form 1 Survey Teen Web Survey	Form
1 Survey Att G - Teen Web Survey Revised Dec 2024_Clean.docx	Form
1 Survey Att G - Teen Web Survey Revised Dec 2024_Clean.docx	Form

IC Title:

Teen Web Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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