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

View Information Collection (IC)

[NCCDPHP] Health Surveys of Teens, Young Adults, and Parents of Children and Adolescents 0920-26-0010
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1154 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1154 NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

2,800 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 2,800 0 2,800 0 0 0
Annual IC Time Burden (Hours) 1,121 0 1,121 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation - U.S. PHSA 12/29/2025
Technical Overview of AmeriSpeak Panel 12/29/2025
Wave 3 Parent Survey - screenshots 12/29/2025
Wave 3 Young Adult Survey - screenshots 12/29/2025
Wave 3 Teen Pulse Survey - screenshots 12/29/2025
Wave 3 Parent Survey - Consent Language 12/29/2025
Wave 3 Young Adult Survey - Consent Language 12/29/2025
Wave 3 Teen Pulse Survey - Parent Consent Language and Teen Assent Language 12/29/2025
NORC - IRB Approval 12/29/2025
AmeriSpeak Recruitment/Reminder Materials 12/29/2025
GenIC Request Form 12/29/2025
Supporting Statement A 01/28/2026
Supporting Statement B 01/28/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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