Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
12-month follow-up survey New 560 187 0 Other-YTED Advance Letter
Other-YTED Reminder Letter
Other-YTED Postcard
Other-YTED Refusal Conversion Letter
Other-YTED Thank You Letter
Other-YTED Follow-Up Survey
Baseline survey New 700 175 0 Other-YTED Baseline Survey
Informed consent form and release form New 700 117 0 Other-YTED Consent Form
Other-YTED Release Form
Qualitative data collection with site staff New 36 41 0 Other-YTED Qualitative Interview Topics
Qualitative data collection with treatment group members New 12 9 0 Other-YTED Qualitative Interview Topic
Total burden requested under this ICR: 2008 529 0  
To view an IC, click on IC Title