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

The Real Cost Campaign Outcomes Evaluation Study: Cohort 3 (Outcomes Study)

OMB: 0910-0915

IC ID: 257759

Information Collection (IC) Details

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Youth Assent--Main: Baseline & Follow-up 1,2,3
 
No Modified
 
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 %

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

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