Study to Examine Web-based Administration of the Youth Risk Behavior Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
07AM_YRBS_SS_091407_PART B.doc	Supporting Statement B	Uploaded 2007-10-03	Available
HHSmemo.doc	Supplementary Document	Uploaded 2007-10-17	Available
Appendix N - Principal Data Collection Detailed Sampling and Weighting Plan.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix M - 2008 Methodological Study Table Shells.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix L - 2008 Methodological Study IRB Approval Letter.rtf	Supplementary Document	Uploaded 2007-10-03	Available
Appendix C - 60-day FRN Comment.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix B - 60-Day Federal Register Announcement.pdf	Supplementary Document	Uploaded 2007-10-03	Available
Appendix A - Authorizing Legislation.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix K - Data Collection Checklist for the Student Health Survey Supplemental Documents.doc	Supplementary Document	Uploaded 2007-10-03	Repair queued
Appendix I - School Recruitment Script for the Student Health Survey Supplemental Documents.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix G - Data Collection Instrument for Students Supplemental Documents.doc	Supplementary Document	Uploaded 2007-10-03	Repair queued
Appendix E2 - Student Health Survey with Skip Patterns.doc	Supplementary Document	Uploaded 2007-10-03	Available
Appendix F - Data Collection Instrument for Principals Supplemental Documents.doc	Supplementary Document	Uploaded 2007-10-02	Available
07AM_YRBS_SS_091407_PART A.doc	Supporting Statement A	Uploaded 2007-10-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182578	Teachers Data Collection Checklist	Other-Data Collection Checklist	New
182577	School Recruitment for the Student Health Survey	Instruction	New
182576	Student Health Survey	Other-Student Health Survey	New
182575	Principle Survey of Feasibility and Acceptability of Web-based Student Assessments and Surveys	Other-Principle Survey of the Feasibility and Acceptability of W	New

ICR Details

OMB Control No: 0920-0763	ICR Reference No: 200711-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Study to Examine Web-based Administration of the Youth Risk Behavior Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/25/2008
	Date Received in OIRA: 11/01/2007
Terms of Clearance: Approved consistent with HHS response to OMB comments and removal of proposed incentives.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2009	12 Months From Approved
Responses	7,000	0	0
Time Burden (Hours)	4,813	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this request is to obtain OMB clearance to conduct a methodological study to assess the feasibility of adopting a Web-based version of the national Youth Risk Behavior Survey(YRBS)OMB Number 0920-0493. The planned data collection includes two questionnaires. The first will be administered to a national probability sample of high school principals to assess their perceptions of the feasibility and desirability of student Web-based data collection in their schools. The second will be administered to students to assess the feasibility of transitioning the mode of school-based data collection for the national YRBS from a paper-and-pencil questionnaire to a Web-based questionnaire. Feasibility will be assessed by determining whether prevalence estimates are comparable across study conditions without incurring a significant decrease in participation rates and questionnaire completeness in the Web-based mode. The data collection is time-sensitive, program needs to start data collection in January 2008 in order to complete the analysis and incorporate results into the next regular YRBS cycle.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 9949	03/06/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 194	10/09/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Principle Survey of Feasibility and Acceptability of Web-based Student Assessments and Surveys
Student Health Survey
School Recruitment for the Student Health Survey
Teachers Data Collection Checklist

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,000	0	0	7,000	0	0
Annual Time Burden (Hours)	4,813	0	0	4,813	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $902,057

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/01/2007

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