Information Collection

Youth Screener--Supplemental

IC 257761 under ICR 202506-0910-001 · OMB 0910-0915.

Documents and Forms

Document Name Document Type
Attachment 16. Social Media_Screener_ExPECTT3_Baseline.docx Other-Social Media_Screener ExPECTT3

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youth Screener--Supplemental	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Social Media_Screener ExPECTT3 Baseline			Attachment 16. Social Media_Screener_ExPECTT3_Baseline.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-5,000	5,000
Annual IC Time Burden (Hours)	-400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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