[NCIPC] Caring Adults Perceptions on Teen Mental Health

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 269497

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[NCIPC] Caring Adults Perceptions on Teen Mental Health 0920-1154-24HL
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 1_Email.docx Yes No Printable Only
Form and Instruction 0920-1154 (24HL) ADULT MENTOR SCREENING SURVEY Attachment 2_Screening Survey.7.25.24.docx Yes Yes Fillable Fileable
Instruction Caring Adults Perceptions SSA.7.25.24.docx Yes Yes Fillable Fileable Signable
Form and Instruction 0920-1154 (2HL) INTERVIEW DISCUSSION GUIDE Attachment 4_Interview Discussion Guide.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

10 0
   
Individuals or Households
 
   100 %

  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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 28 0 0 0 0 28
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Formative Research and Tool Development” (OMB Control Number: 0920-1154) GEN IC Request Memo.7.25.24.docx 07/26/2024
SSA Caring Adults Perceptions SSA.7.25.24.docx 07/26/2024
SSB Carig Adulst Perceptions SSB.7.25.24.docx 07/26/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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