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Adolescents with Additional Assesments
NEXT Generation Health Study - NICHD
OMB: 0925-0610
IC ID: 190912
OMB.report
HHS/NIH
OMB 0925-0610
ICR 200910-0925-001
IC 190912
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0610 can be found here:
2016-06-23 - Reinstatement with change of a previously approved collection
2012-11-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 9
Adolescents with Additional Assesments
Form and Instruction
9 survey
Attach 9
Form and Instruction
10 survey
Attach 10
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adolescents with Additional Assesments
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form and Instruction
9
survey
Attach 9
Yes
Yes
Paper Only
Form and Instruction
10
survey
Attach 10
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
750
0
750
0
0
0
Annual IC Time Burden (Hours)
1,875
0
1,875
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.