2009 and 2011 Youth Risk Behavior Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
YRBS 2009-11 Justification Part B.doc	Supporting Statement B	Uploaded 2008-05-06	Available
Appendix N - Sample Table Shells.doc	Supplementary Document	Uploaded 2008-05-07	Available
Appendix M - Detailed Sampling and Weighting Plan.doc	Supplementary Document	Uploaded 2008-05-07	Available
Appendix L - IRB Approval Letter.doc	Supplementary Document	Uploaded 2008-05-07	Available
Appendix K - Expert Reviewers for 1989 Consultations.doc	Supplementary Document	Uploaded 2008-05-07	Repair queued
Appendix F - YRBS Questionnaire - supplemental docs.doc	Supplementary Document	Uploaded 2008-05-07	Available
Appendix B. 60-day FRN.pdf	Supplementary Document	Uploaded 2008-05-06	Available
Appendix C. Summary of Public Comments.doc	Supplementary Document	Uploaded 2008-05-06	Available
Appendix A - Authorizing Legislation.doc	Supplementary Document	Uploaded 2008-05-06	Available
Appendix H3 - School-level Recruitment Script for the YRBS - supplemental docs.doc	Supplementary Document	Uploaded 2008-05-06	Available
Appendix H2 - District-level Recruitment Script for the YRBS - supplemental documents.doc	Supplementary Document	Uploaded 2008-05-06	Repair queued
Appendix H1 - State-level Recruitment Script for the YRBS - supplemental docs.doc	Supplementary Document	Uploaded 2008-05-06	Available
Appendix D - Rationale for Survey Questions.doc	Supplementary Document	Uploaded 2008-05-07	Available
YRBS 2009-11 Justification Part A.doc	Supporting Statement A	Uploaded 2008-05-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6930	2005 and 2007 Youth Risk Behavior Survey	Other-WORD	Modified
184922	Data Collection Checklist (2009 & 2011 YRBS)	Other-WORD	New
184921	Recruitement of Schools documents (2009 & 2011 YRBS)	Other-WORD	New
184920	Guidelines for School D	Other-WORD	New
184919	Guidelines for State Education Agency Contacts (2009 & 2011 YRBS)	Other-WORD	New

ICR Details

OMB Control No: 0920-0493	ICR Reference No: 200805-0920-010
Status: Historical Active	Previous ICR Reference No: 200409-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: 2009 and 2011 Youth Risk Behavior Surveys
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2008
	Date Received in OIRA: 05/15/2008
Terms of Clearance: Approved as submitted based on CDC's explanation of the modest changes made since the previous version was approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved
Responses	8,630	0	0
Time Burden (Hours)	6,216	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This statement supports a request to obtain approval for a reinstatement of a previously approved information collection to conduct the school-based National Youth Risk Behavior Survey (YRBS). YRBS is a biennial survey of high school students that assesses priority health risk behaviors related to the major preventable causes of mortality, morbidity, and social problems in the U.S.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Helath 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:
	73 FR 8875	02/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 26996	05/12/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
2005 and 2007 Youth Risk Behavior Survey
Guidelines for State Education Agency Contacts (2009 & 2011 YRBS)
Guidelines for School D
Recruitement of Schools documents (2009 & 2011 YRBS)
Data Collection Checklist (2009 & 2011 YRBS)

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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	8,630	0	0	8,630	0	0
Annual Time Burden (Hours)	6,216	0	0	6,216	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: The minor changes incorporated into this reinstatement request include a slightly modified questionnaire and an updated title to accurately reflect the years in which the survey will be conducted. The 2009 and 2011 YRBS will use the previously OMB-approved sampling strategy, recruitment methods, and data collection procedures involving nationally representative samples of students in public and private schools, enrolled in grades 9-12.

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Annual Cost to Federal Government: $619,416

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: 05/15/2008

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