OMB control number
“Talk. They Hear You.”: Use of “Screen 4 Success” Instruments and Consent form
OMB 0930-0390 · HHS/SAMHSA.
OMB 0930-0390
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form S4S Informed Assen S4S Informed Assent for Youth | Form and Instruction |
| Form S4S Informed Conse S4S Informed Consent for Parent | Form and Instruction |
| Form S4S Screener S4S Screener | Form and Instruction |
| S4S Supporting Statement A (SSA) _ 1.19.2022.docx | Supporting Statement A |
 S4S Informed Assent for Youth |
Form and Instruction |
| S4S Informed Consent for Parent |
Form and Instruction |
| S4S Screener |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202207-0930-001 | New collection (Request for a new OMB Control Number) | 2022-07-08 | Approved without change |