Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
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 Individual Screener Modified 59500 5950 0 Form and Instruction 1 Individual Screener
PATHBaseline- Adult Extended Interview Modified 42730 38457 0 Form and Instruction 1 Extended Interview
PATH/Baseline-Adults-Biospecimen: Urine Modified 42730 7122 0 Form and Instruction 1 Urine Collection
PATH/Baseline- Adults-Followup/Tracking Participant Information Form Modified 85460 11395 0 Form and Instruction 1 Follow-up/Tracking Participant Information Form
PATH/Baseline-Youth Extended Interview Modified 16186 8633 0 Form and Instruction 1 Youth Extended Interview
PATH/Baseline- Adult-Parent Interview Modified 16186 3777 0 Form and Instruction 1 Parent Interview
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 - 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/Baseline-Adults-Biospecimen: Buccal New 42730 12819 0 Form and Instruction 1 Buccal Collection
PATH/Baseline-Adults-Biospecimen: Blood New 42730 12819 0 Form and Instruction 1 Blood Collection
PATH - Adults Household Screener/Field Test Removed 0 0 0 Form 2a Household Screener/Field Test
PATH - Adults - Individual Screener/Field Test Removed 0 0 0 Form 2b Individual Screener/Field Test
PATH - Adults - Extended Interview/Field Test Removed 0 0 0 Form 2c Extended Interview/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 - Adults- Followup/Traacking Participant Information Form/Field Test Removed 0 0 0 Form 2f Followup Tracking Participant/Field Test
PATH - Youth Extended Interview/Field Test Removed 0 0 0 Form 2g Youth Extended Interview/Field Test
PATH - Adult- Parent Interview/Field Test Removed 0 0 0 Form 2h Parent Interview/Field Test
Total burden requested under this ICR: 560451 136889 0  
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