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

View Information Collection (IC)

HHS COVID-19 Public Education Campaign Parent & Teen Interview Dyads
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A Guide Yes Yes Fillable Fileable
Other-Attachment B Guide Yes Yes Fillable Fileable

Health Illness Prevention

 

1,200 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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 160 0 160 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment C BRANY Screener 08/12/2021
Attachment D BRANY Screener 08/12/2021
Attachment E BRANY Consent Form 08/12/2021
Attachment F BRANY Permission Form 08/12/2021
Attachment G BRANY Minor Form 08/12/2021
Attachment H BRANY Testing Ads 08/12/2021
Attachment I BRANY IRB approval 08/12/2021
Supporting Statement B 08/12/2021
Supporting Statement A 08/12/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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