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[NCIPC] Caring Adults Perceptions on Teen Mental Health

IC 269870 under ICR 202507-0920-010 · OMB 0920-1154.

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Form
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[NCIPC] Caring Adults Perceptions on Teen Mental Health 0920-24HY
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24HY Screening Survey Attachment 2_Screening Survey.7.25.24.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

65 0
   
Individuals or Households
 
   0 %

  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 65 0 0 0 0 65
Annual IC Time Burden (Hours) 28 0 0 0 0 28
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form Attachment 3_Adult Mentor Consent Form.7.25.24.docx 08/06/2024
SSA Caring Adults Perceptions SSA.7.25.24.docx 08/06/2024
SSB Carig Adulst Perceptions SSB.7.25.24.docx 08/06/2024
GenIC Memo GEN IC Request Memo.7.25.24.docx 08/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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