Information Collection

The Real Cost Campaign Outcomes Evaluation Study: Cohort 3

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

Documents and Forms
Document Name
Document Type
Other-ENGLISH Postcards
Other-SPANISH Postcards
Other-ENGLISH : Initial Lead Letter
Other-SPANISH : Initial Lead Letter
Other-ENGLISH Incentive Thank You Le
Other-SPANISH Incentive Thank You Le
Other-ENGLISH Email Reminders ExPECT
Other-SPANISH Email Reminders ExPECT
Other-ENGLISH Eligibility Email ExPE
Other-SPANISH Eligibility Email ExPE
Other-ENGLISH Eligibility Letter ExP
Other-SPANISH Eligibility Letter ExP
Other-ENGLISH Questions and Answers
Other-SPANISH Questions and Answers
Other-ENGLISH Invitation Emails ExPE
Other-SPANISH Invitation Emails ExPE
Other-Text Message Reminder
Other-ENGLISH Parent Guardian Online
Other-SPANISH Parent Guardian Screen
Other-ENGLISH Parent Guardian Permis
Other-SPANISH Parent Guardian Permis
Other-ENGLISH Youth Assent 11 to 13
Other-SPANISH Youth Assent 11 to 13
Other-ENGLISH Youth Assent 14+ ExPEC
Other-SPANISH Youth Assent 14+ ExPEC
Other-ENGLISH Young Adult Consent Ex
Other-SPANISH Young Adult Consent Ex
Other-ENGLISH Youth Survey ExPECTT3
Other-SPANISH Youth Survey ExPECTT 3
Other-ENGLISH Panel Maintenance ExPE
Other-SPANISH Panel Maintenance ExPE
Other-ENGLISH Reminder Letters ExPEC
Other-SPANISH Reminder Letters ExPEC
Information Collection (IC) Details

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The Real Cost Campaign Outcomes Evaluation Study: Cohort 3
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ENGLISH Postcards Attachment 03. Postcards ExPECTT 3_FU3_OMB.docx No   Paper Only
Other-SPANISH Postcards Attachment 03. Postcards ExPECTT 3_SPA_FU3_OMB.docx No   Paper Only
Other-ENGLISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) Attachment 11a. Initial Lead Letter ExPECTT 3_FU3_OMB.docx No   Paper Only
Other-SPANISH : Initial Lead Letter ExPECTT_Baseline (Baseline and Follow-up 2 replenishment only) Attachment 11a. Initial Lead Letter ExPECTT 3_SPA_FU3_OMB.docx No   Paper Only
Other-ENGLISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14a. Incentive Thank You Letter ExPECTT 3_FU3_OMB.docx No   Paper Only
Other-SPANISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14a. Incentive Thank You Letter ExPECTT 3_SPA_FU3_OMB.docx No   Paper Only
Other-ENGLISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_FU2_OMB.docx No   Paper Only
Other-SPANISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_SPA_FU3_OMB.docx No   Paper Only
Other-ENGLISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study ExPECTT 3_FU3_OMB.docx No   Paper Only
Other-SPANISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study_SPA_FU3_OMB.docx No   Paper Only
Other-ENGLISH Invitation Emails ExPECTT 3 Baseline Attachment 23. Invitation Emails ExPECTT 3_FU3_OMB.docx Yes Yes Printable Only
Other-SPANISH Invitation Emails ExPECTT 3 Baseline Attachment 23. Invitation Emails ExPECTT 3_SPA_FU3_OMB.docx Yes No Printable Only
Other-Text Message Reminder Attachment 10. Text Message Reminder_Parent_Youth_ExPECTT 3_FU3_OMB.docx Yes No Printable Only
Other-ENGLISH Parent Guardian Online Screener Attachment 02. Parent Guardian Screener_ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Parent Guardian Screener Attachment 02. Parent Guardian Screener_ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Parent Guardian Permission Attachment 04. Parent Guardian Permission ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Parent Guardian Permission Attachment 04. Parent Guardian Permission ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Youth Assent 11 to 13 ExPECTT 3 Attachment 05a. Youth Assent 11 to 13 ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Youth Assent 11 to 13 ExPECTT 3 Attachment 05a. Youth Assent 11 to 13 ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Youth Assent 14+ ExPECTT 3 Attachment 05b. Youth Assent 14+ ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Youth Assent 14+ ExPECTT 3 Attachment 05b. Youth Assent 14+ ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Young Adult Consent ExPECTT 3 Attachment 06. Young Adult Consent ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Young Adult Consent ExPECTT 3 Attachment 06. Young Adult Consent ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Youth Survey ExPECTT3 Attachment 9. Youth Survey ExPECTT3.docx Yes Yes Fillable Printable
Other-SPANISH Youth Survey ExPECTT 3 Attachment 09. Youth Survey ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Panel Maintenance ExPECTT 3 Attachment 24. Panel Maintenance ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Panel Maintenance ExPECTT 3 Attachment 24. Panel Maintenance ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable
Other-ENGLISH Reminder Letters ExPECTT 3 Attachment 25. Reminder Letters ExPECTT 3_FU3_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Reminder Letters ExPECTT 3 Attachment 25. Reminder Letters ExPECTT 3_SPA_FU3_OMB.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

609,031 0
   
Individuals or Households
 
   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 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

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