View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

The Real Cost Campaign: Media Tracking Study (CTP) CTP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email Invitations for Parents Appendix A - Email Invitation for Parents of Youth.docx Yes No Printable Only
Other-Youth Assent Form Appendix B - Youth Assent Form.docx Yes Yes Fillable Fileable
Other-Young Adult Consent Form Appendix C - Young Adult Consent Form.docx Yes Yes Fillable Fileable
Other-Screener Appendix D - Screener _REVISED 3-30.21.docx Yes Yes Fillable Fileable
Other-Questionnaire Appendix E - Questionnaire.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

20,250 0
   
Individuals or Households
 
   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 20,250 0 20,250 0 0 0
Annual IC Time Burden (Hours) 2,488 0 2,488 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A - Media Tracking Study 0810 GenIC Supporting Statement Part A - Media Tracking Study 2021.docx 03/26/2021
Supporting Statement Part B - Media Tracking Study 0810 GenIC Supporting Statement Part B - Media Tracking Study 2021.docx 03/26/2021
IRB Letter IRB Letter.pdf 03/26/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.