Information Collection

2005 and 2007 Youth Risk Behavior Survey

IC 6930 under ICR 200805-0920-010 · OMB 0920-0493.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0493 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E - YRBS Questionnaire.doc	Other-WORD
Appendix D - Rationale for Survey Questions.doc Appendix D - Rationale for Survey Questions	IC Document

IC Title:

2005 and 2007 Youth Risk Behavior Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Appendix E - YRBS Questionnaire.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D - Rationale for Survey Questions	Appendix D - Rationale for Survey Questions.doc	05/07/2008

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