View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Formative Research Support: Outcomes and Awareness Measurement Research
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Parental permission form wave 1
Appendix A FRS Parental Permission Form_Wave 1_ 4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-Parental permission form wave 2
Appendix B FRS Parental Permission Form_Wave 2 4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-Online survey youth assent form wave 1
Appendix C FRS Online Survey Youth Assent Form_Wave 1_4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-Online survey youth assent form wave 2
Appendix D FRS Online Survey Youth Assent Form_Wave 2 4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-Study communication
Appendix E - Lightspeed Generic Study Communication.png
Yes
Yes
Fillable Fileable
Other-Survey wave 1
Appendix F FRS Awareness and Outcomes Survey_Wave 1 4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-Survey wave 2
Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022.pdf
Yes
Yes
Fillable Fileable
Other-IRB approval
IRB_for_STUDY FRS Parental Permission 4-19-2022.pdf
Yes
No
Printable Only
Other-Photos athlete wave 1
AIP Athlete_2X3_collage.PNG
Yes
No
Printable Only
Other-Video athlete 6 seconds wave 1
AIP Athlete_6sec.mp4
Yes
No
Printable Only
Other-Video athlete 15 seconds wave 1
AIP Athlete_15sec.mp4
Yes
No
Printable Only
Other-Photo macroscopic metals wave 1
Macroscopic Metals_2X3_collage.PNG
Yes
No
Printable Only
Other-Video macroscopic metals 6 seconds wave 1
Macroscopic Metals_6sec.mp4
Yes
No
Printable Only
Other-Video macroscopic metals 15 seconds wave 1
Macroscopic Metals_15sec.mp4
Yes
No
Printable Only
Other-Photos scary enough wave 1
Scary enough_2X3_collage.PNG
Yes
No
Printable Only
Other-Video #1 scary enough 6 seconds wave 1
Scary enough_6sec_1.mp4
Yes
No
Printable Only
Other-Video #2 scary enough 6 seconds wave 1
Scary enough_6sec_2.mp4
Yes
No
Printable Only
Other-Video scary enough 15 seconds wave 1
Scary enough_15sec.mp4
Yes
No
Printable Only
Other-Photos ENDS possessed wave 2
ENDS Possessed_2X3_collage.PNG
Yes
No
Printable Only
Other-Video ENDS possessed 6 seconds wave 2
ENDS_Possessed_6sec.mp4
Yes
No
Printable Only
Other-Video ENDS possessed 15 seconds wave 2
ENDS Possessed_15sec.mp4
Yes
No
Printable Only
Other-Photos lil bro wave 2
Lil Bro_2X3_collage.PNG
Yes
No
Printable Only
Other-Video lil bro 6 seconds wave 2
Lil Bro_6sec.mp4
Yes
No
Printable Only
Other-Video lil bro 15 seconds wave 2
Lil Bro_15sec.mp4
Yes
No
Printable Only
Other-Photos science experiment wave 2
Science Experiment_2X3_collage.PNG
Yes
No
Printable Only
Other-Video science experiment 6 seconds wave 2
Science Experiment_6sec.mp4
Yes
No
Printable Only
Other-Video science experiment 15 seconds wave 2
Science Experiment_15sec.mp4
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
21,267
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
21,267
0
0
0
0
21,267
Annual IC Time Burden (Hours)
2,749
0
0
0
0
2,749
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Part A
SS Part A FRS Outcomes and Awareness 4-19-2022.pdf
04/20/2022
Supporting Statement Part B
SS Part B FRS Outcomes and Awareness 4-19-2022.pdf
04/20/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.