Youths/Parents (Twins) parental or Adult Consent Form

Rapid Throughput Standardized Evaluation of Transmissible Risk for Substance Use Disorder in Youth (NIDA)

Documents and Forms

Document Name Document Type
Form 1 Youths/Parents (Twins) parental or Adult Consent Form Form and Instruction
1 Twins Consent Form - Adult Attach-8_Twins_Consent_Form_Adult.8.2014docx.docx Form and Instruction
1 Twins Consent Form - Parental Attach-9_Twins_Consent_Form_Parental. 8.2014.docx Form and Instruction
Attach-7_Assent_Form_and_Information-Student_Web_Survey.pdf Attach-7_Assent_Form_and_Information-Student_Web_Survey IC Document

Information Collection (IC) Details

IC Title:	Youths/Parents (Twins) parental or Adult Consent Form	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	1	Twins Consent Form - Adult	Attach-8_Twins_Consent_Form_Adult.8.2014docx.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1	Twins Consent Form - Parental	Attach-9_Twins_Consent_Form_Parental. 8.2014.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attach-7_Assent_Form_and_Information-Student_Web_Survey	Attach-7_Assent_Form_and_Information-Student_Web_Survey.pdf	03/26/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.