Information Collection

Youth Survey--Supplemental: Baseline & Follow-up 1,2,3

IC 257764 under ICR 202506-0910-001 · OMB 0910-0915.

Documents and Forms

Document Name Document Type
Attachment 9. Youth Survey ExPECTT 3_FU Waves.docx Other-ENGLISH Youth Survey ExPECTT 3
Attachment 9. Youth Survey ExPECTT 3_FU Waves_SPA.docx Other-SPANISH Youth Survey ExPECTT 3

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youth Survey--Supplemental: Baseline & Follow-up 1,2,3	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-ENGLISH Youth Survey ExPECTT 3 Baseline			Attachment 9. Youth Survey ExPECTT 3_FU Waves.docx		Yes	Yes	Fillable Printable
Other-SPANISH Youth Survey ExPECTT 3_Baseline			Attachment 9. Youth Survey ExPECTT 3_FU Waves_SPA.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,428	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	-4,428	4,428
Annual IC Time Burden (Hours)	-2,214	2,214
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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