OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Youth Assent--Main: Baseline & Follow-up 1,2,3

IC 257759 under ICR 202506-0910-001 · OMB 0910-0915.

Documents and Forms
Document Name
Document Type
Other-ENGLISH Youth Assent 11 to 13
Other-SPANISH Youth Assent 11 to 13
Other-ENGLISH Youth Assent 14+
Other-SPANISH Youth Assent 14+
Other-ENGLISH Young Adult Consent Ex
Other-SPANISH Young Adult Consent Ex
Information Collection (IC) Details

View Information Collection (IC)

Youth Assent--Main: Baseline & Follow-up 1,2,3
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ENGLISH Youth Assent 11 to 13 Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_OMB.docx Yes Yes Fillable Printable
Other-SPANISH Youth Assent 11 to 13 Attachment 5a. Youth Assent 11 to 13 ExPECTT 3_BL_FU_SPA_FINAL.docx Yes Yes Fillable Printable
Other-ENGLISH Youth Assent 14+ Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline.docx Yes Yes Fillable Printable
Other-SPANISH Youth Assent 14+ Attachment 5b. Youth Assent 14+ ExPECTT 3_Baseline_SPA_FINAL_rev.docx Yes Yes Fillable Printable
Other-ENGLISH Young Adult Consent ExPECTT 3 Baseline Attachment 6. Young Adult Consent ExPECTT 3_Baseline.docx Yes Yes Fillable Printable
Other-SPANISH Young Adult Consent ExPECTT 3 Baseline Attachment 6. Young Adult Consent ExPECTT 3_Baseline_SPA_FINAL_rev.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

21,600 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 0 0 0 -21,600 0 21,600
Annual IC Time Burden (Hours) 0 0 0 -1,728 0 1,728
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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