Information Collection

The Real Cost Campaign Outcomes Evaluation Study: Cohort 3

IC 257637 under ICR 202506-0910-001 · OMB 0910-0915.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment 03. Postcards ExPECTT 3_FU3_OMB.docx Other-ENGLISH Postcards
Attachment 03. Postcards ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Postcards
Attachment 11a. Initial Lead Letter ExPECTT 3_FU3_OMB.docx Other-ENGLISH : Initial Lead Letter
Attachment 11a. Initial Lead Letter ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH : Initial Lead Letter
Attachment 14a. Incentive Thank You Letter ExPECTT 3_FU3_OMB.docx Other-ENGLISH Incentive Thank You Le
Attachment 14a. Incentive Thank You Letter ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Incentive Thank You Le
Attachment 15. Email_reminders_ExPECTT3_FU3_OMB.docx Other-ENGLISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_SPA_FU3_OMB.docx Other-SPANISH Email Reminders ExPECT
Attachment 19. Eligibility Email ExPECTT 3_FU3_OMB.docx Other-ENGLISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Eligibility Email ExPE
Attachment 20. Eligibility Letter ExPECTT 3_FU2_OMB.docx Other-ENGLISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Eligibility Letter ExP
Attachment 21. Questions and Answers about the Health and Media Study ExPECTT 3_FU3_OMB.docx Other-ENGLISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_SPA_FU3_OMB.docx Other-SPANISH Questions and Answers
Attachment 23. Invitation Emails ExPECTT 3_FU3_OMB.docx Other-ENGLISH Invitation Emails ExPE
Attachment 23. Invitation Emails ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Invitation Emails ExPE
Attachment 10. Text Message Reminder_Parent_Youth_ExPECTT 3_FU3_OMB.docx Other-Text Message Reminder
Attachment 02. Parent Guardian Screener_ExPECTT 3_FU3_OMB.docx Other-ENGLISH Parent Guardian Online
Attachment 02. Parent Guardian Screener_ExPECTT 3_FU3_OMB.docx Other-SPANISH Parent Guardian Screen
Attachment 04. Parent Guardian Permission ExPECTT 3_FU3_OMB.docx Other-ENGLISH Parent Guardian Permis
Attachment 04. Parent Guardian Permission ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Parent Guardian Permis
Attachment 05a. Youth Assent 11 to 13 ExPECTT 3_FU3_OMB.docx Other-ENGLISH Youth Assent 11 to 13
Attachment 05a. Youth Assent 11 to 13 ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Youth Assent 11 to 13
Attachment 05b. Youth Assent 14+ ExPECTT 3_FU3_OMB.docx Other-ENGLISH Youth Assent 14+ ExPEC
Attachment 05b. Youth Assent 14+ ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Youth Assent 14+ ExPEC
Attachment 06. Young Adult Consent ExPECTT 3_FU3_OMB.docx Other-ENGLISH Young Adult Consent Ex
Attachment 06. Young Adult Consent ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Young Adult Consent Ex
Attachment 9. Youth Survey ExPECTT3.docx Other-ENGLISH Youth Survey ExPECTT3
Attachment 09. Youth Survey ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Youth Survey ExPECTT 3
Attachment 24. Panel Maintenance ExPECTT 3_FU3_OMB.docx Other-ENGLISH Panel Maintenance ExPE
Attachment 24. Panel Maintenance ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Panel Maintenance ExPE
Attachment 25. Reminder Letters ExPECTT 3_FU3_OMB.docx Other-ENGLISH Reminder Letters ExPEC
Attachment 25. Reminder Letters ExPECTT 3_SPA_FU3_OMB.docx Other-SPANISH Reminder Letters ExPEC

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-ENGLISH Postcards No   Paper Only
Other-SPANISH Postcards No   Paper Only
Other-ENGLISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) No   Paper Only
Other-SPANISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) No   Paper Only
Other-ENGLISH Incentive Thank You Letter ExPECTT 3 Baseline No   Paper Only
Other-SPANISH Incentive Thank You Letter ExPECTT 3 Baseline No   Paper Only
Other-ENGLISH Email Reminders ExPECTT3 Baseline Yes Yes Fillable Printable
Other-SPANISH Email Reminders ExPECTT3 Baseline Yes Yes Fillable Printable
Other-ENGLISH Eligibility Email ExPECTT 3 Baseline Yes Yes Fillable Printable
Other-SPANISH Eligibility Email ExPECTT 3 Baseline Yes Yes Fillable Printable
Other-ENGLISH Eligibility Letter ExPECTT 3 Baseline No   Paper Only
Other-SPANISH Eligibility Letter ExPECTT 3 Baseline No   Paper Only
Other-ENGLISH Questions and Answers about the Health and Media Study No   Paper Only
Other-SPANISH Questions and Answers about the Health and Media Study No   Paper Only
Other-ENGLISH Invitation Emails ExPECTT 3 Baseline Yes Yes Printable Only
Other-SPANISH Invitation Emails ExPECTT 3 Baseline Yes No Printable Only
Other-Text Message Reminder Yes No Printable Only
Other-ENGLISH Parent Guardian Online Screener Yes Yes Fillable Printable
Other-SPANISH Parent Guardian Screener Yes Yes Fillable Printable
Other-ENGLISH Parent Guardian Permission Yes Yes Fillable Printable
Other-SPANISH Parent Guardian Permission Yes Yes Fillable Printable
Other-ENGLISH Youth Assent 11 to 13 ExPECTT 3 Yes Yes Fillable Printable
Other-SPANISH Youth Assent 11 to 13 ExPECTT 3 Yes Yes Fillable Printable
Other-ENGLISH Youth Assent 14+ ExPECTT 3 Yes Yes Fillable Printable
Other-SPANISH Youth Assent 14+ ExPECTT 3 Yes Yes Fillable Printable
Other-ENGLISH Young Adult Consent ExPECTT 3 Yes Yes Fillable Printable
Other-SPANISH Young Adult Consent ExPECTT 3 Yes Yes Fillable Printable
Other-ENGLISH Youth Survey ExPECTT3 Yes Yes Fillable Printable
Other-SPANISH Youth Survey ExPECTT 3 Yes Yes Fillable Printable
Other-ENGLISH Panel Maintenance ExPECTT 3 Yes Yes Fillable Printable
Other-SPANISH Panel Maintenance ExPECTT 3 Yes Yes Fillable Printable
Other-ENGLISH Reminder Letters ExPECTT 3 Yes Yes Fillable Printable
Other-SPANISH Reminder Letters ExPECTT 3 Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 609,031 0 0 134,031 0 475,000
Annual IC Time Burden (Hours) 59,799 0 0 -11,451 0 71,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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