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Parents, Caregivers, and Young Adults
Formative Research on Community-Level Factors that Promote the Primary Prevention of Adverse Childhood Experiences (ACEs) and Opioid Misuse Among Children, Youth, and Families in Tribal American India
OMB: 0920-1351
IC ID: 247306
OMB.report
HHS/CDC
OMB 0920-1351
ICR 202205-0920-011
IC 247306
( )
Documents and Forms
Document Name
Document Type
Form 0920-20PJ
Parents, Caregivers, and Young Adults
Form and Instruction
0920-20PJ Focus Group Discussion Guide
Attachment K_Focus Group Discussion Guide for Parents-Caregivers and Young Adults.docx
Form and Instruction
0920-20PJ Focus Group Discussion Guide
Attachment K_Focus Group Discussion Guide for Parents-Caregivers and Young Adults.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parents, Caregivers, and Young Adults
Agency IC Tracking Number:
0920-20PJ
Is this a Common Form?
No
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
Form and Instruction
0920-20PJ
Focus Group Discussion Guide
Attachment K_Focus Group Discussion Guide for Parents-Caregivers and Young Adults.docx
Yes
No
Printable 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:
64
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
64
0
0
0
0
64
Annual IC Time Burden (Hours)
128
0
0
0
0
128
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.