View Information Collection (IC)

View Information Collection (IC)

PATH - Adults - Followup/Tracking Participant Information Form for Shadow Sample Youth(completed ny Parents)/Field Test
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Shadow Sample 3j-English. Followup Tracking Participant Information Form - Shadow Sample Youth 050813.pdf Yes Yes Fillable Fileable

Health Immunization Management

NIH Privacy Act System of Records 09-25-0200 Clinical, Basic, Population-based research studies of NIH, HHS/NIH/OD  67 FR 60741

16,186 0
Individuals or Households
   0 %

  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 32,372 0 0 32,172 0 200
Annual IC Time Burden (Hours) 4,316 0 0 4,289 0 27
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3j-Spanish 3j-Spanish. Followup Tracking Participant Information Form - Shadow Sample Youth.pdf 06/28/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.