View Information Collection (IC)

View Information Collection (IC)

Cognitive Testing of Questions on Teen Alcohol and Marijuana Use 0920-0222-17BCH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Telephone Screening Script- Cognitive Testing of Questions on Teen Alcohol and Marijuana Use Att 3 Screening Script 090717.docx NA No   Paper Only
Form and Instruction NA Teen Alcohol and Marijuana Use Questions to be Cognitively Tested Att 1 Teen AlcMarijuana Qs 090717.docx NA No   Paper Only

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probablity Sampes of the U.S. Population 09-20-0164  49 FR 37693

78 0
   
Individuals or Households
 
   0 %

  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 78 0 78 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
10-Day Letter Teen Alcoholand Marijuana Use Questions to be Cognitively Tested 10-day letter Teen Alcmarijuana 090717.docx 09/19/2017
Advertisement/Recruitment Flyer Att 2a&b Adv&flyer.docx 09/19/2017
Consent/Assent Form Att 4a-c ConsentAssent.docx 09/19/2017
Respondent Data Collection Sheet Att 5 Resp Data Collect Sheet.docx 09/19/2017
Thank You Letter Att 6 Thank You Letter.docx 09/19/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.