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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
PATH/Baseline- Adult-Parent Interview
Modified
16186
3777
0
Form and Instruction
1
Parent Interview
PATH - Adult- Parent Interview/Field Test
Removed
0
0
0
Form
2h
Parent Interview/Field Test
PATH - Adults - Extended Interview/Field Test
Removed
0
0
0
Form
2c
Extended Interview/Field Test
PATH - Adults - Followup/Tracking Participant Information Form for Shadow Sample Youth(completed ny Parents)/Field Test
Modified
32372
4316
0
Form and Instruction
1
Shadow Sample
PATH - Adults - Individual Screener/Field Test
Removed
0
0
0
Form
2b
Individual Screener/Field Test
PATH - Adults Household Screener/Field Test
Removed
0
0
0
Form
2a
Household Screener/Field Test
PATH - Adults- Followup/Traacking Participant Information Form/Field Test
Removed
0
0
0
Form
2f
Followup Tracking Participant/Field Test
PATH - Biospecimen Collection Forms/Field Test
Removed
0
0
0
Form and Instruction
2d
Biospecimen Collection Forms/Field Test
PATH - Tobacco Use Form/Field Test
Removed
0
0
0
Form
2e
Tobacco Use Form/Field Test
PATH - Youth Extended Interview/Field Test
Removed
0
0
0
Form
2g
Youth Extended Interview/Field Test
PATH/Baseline - Adults Individual Screener
Modified
59500
5950
0
Form and Instruction
1
Individual Screener
PATH/Baseline- Adults - Followup/Tracking Participant Information Form for Youth (completed by parents)
Modified
32372
4316
0
Form and Instruction
1
Follow-up/Tracking Participant Information Form (completed by parents)
PATH/Baseline- Adults -Tobacco Use Form
Modified
42730
2849
0
Form and Instruction
1
Tobacco Use Form
PATH/Baseline- Adults Household Screener
Modified
104725
24436
0
Form and Instruction
1
Household Screener
PATH/Baseline- Adults-Followup/Tracking Participant Information Form
Modified
85460
11395
0
Form and Instruction
1
Follow-up/Tracking Participant Information Form
PATH/Baseline-Adults-Biospecimen: Blood
New
42730
12819
0
Form and Instruction
1
Blood Collection
PATH/Baseline-Adults-Biospecimen: Buccal
New
42730
12819
0
Form and Instruction
1
Buccal Collection
PATH/Baseline-Adults-Biospecimen: Urine
Modified
42730
7122
0
Form and Instruction
1
Urine Collection
PATH/Baseline-Youth Extended Interview
Modified
16186
8633
0
Form and Instruction
1
Youth Extended Interview
PATHBaseline- Adult Extended Interview
Modified
42730
38457
0
Form and Instruction
1
Extended Interview
Total burden requested under this ICR:
560451
136889
0
To view an IC, click on IC Title