Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Proxy Survey - Adults 18 or older Unchanged 750 288 0 Form and Instruction NA
Form and Instruction NA
Adolescent Screener - Adolescent 13-17 years of age Unchanged 540 45 0 Form and Instruction NA
Form and Instruction NA
Adolescent Survey - Adolescent 13-17 years of age Unchanged 180 45 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Adult Proxy Screener - Adults 18 or older Unchanged 4250 992 0 Form and Instruction NA
Form and Instruction NA
Eligibility Screener - Adults 18 or older Unchanged 783 26 0 Form and Instruction NA
Form and Instruction NA
Total burden requested under this ICR: 6503 1396 0  
To view an IC, click on IC Title