View Information Collection (IC)

View Information Collection (IC)

IC Title:	Youth and Parent Ad Tracking Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	14,000	0	-640	0	14,640	0
Annual IC Time Burden (Hours)	3,500	0	-160	0	3,660	0
Annual IC Cost Burden (Dollars)	37,643	0	-1,608	0	39,251	0

Documents for IC

Title	Document	Date Uploaded
Tracking Study Above the Influence Main Questionnaire 20 AUg 2013	Tracking Study Above the Influence MAIN QUESTIONNAIRE 20 Aug 2013.docx	08/20/2013
Above the Influence Youth Online Tracking Questionnaire Organization	Above the Influence Youth Online Tracking Questionnaire Organization Aug 20 2013.docx	08/27/2013
Tracking Study Above the Influence SCREENER	Tracking Study Above the Influence SCREENER 20 Aug 2013.docx	08/27/2013
30-Day FRN	30-day FRN.pdf	08/27/2013
60-Day FRN	60 day FRN 29 Jan 2013.pdf	08/27/2013
2006 ONDCP Reauthorization Act	2006 ONDCP Reauthorization Act.pdf	08/27/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.