2009 and 2011 National Youth Tobacco Survey (NYTS)

Forms and Documents

Document Name	Status
Form H1 RECRUITMENT OF STATES Form and Instruction	Modified
Form F STUDENTS 2009 AND 2011 NATIONAL YOUTH TOBACCO SURVEYS Form and Instruction	New
Form J TEACHERS' DATA COLLECTION CHECKLIST Form and Instruction	New
Form H3 RECRUITMENT OF SCHOOLS Form and Instruction	New
Form H2 RECRUITMENT OF DISTRICTS Form and Instruction	New
SS_B.doc Supporting Statement B	2008-06-06
Appendix N. Detailed Sampling and Weighting Plan_5-30-2008.doc Supplementary Document	2008-06-06
Appendix M. Sample Table Shells.doc Supplementary Document	2008-06-06
Appendix L. IRB Approval Letter.doc Supplementary Document	2008-06-06
Appendix E. Publications from Prior Cycles of NYTS.doc Supplementary Document	2008-06-06
Appendix D. State Tobacco Control Reports Citing NYTS.doc Supplementary Document	2008-06-06
Appendix C. Public Comment and CDC Response.doc Supplementary Document	2008-06-06
Appendix B. 0920-0621 60-day FRN.pdf Supplementary Document	2008-06-06
Appendix A. Authorizing Legislation.doc Supplementary Document	2008-06-06
Appendix G. NYTS Questionnaire Supplemental Documents.doc Supplementary Document	2008-06-06
Appendix K. Data Collection Checklist Supplemental docs.doc Supplementary Document	2008-06-06
Appendix I3. School Recruit Script Supplemental Docs.doc Supplementary Document	2008-06-06
Appendix I2. District Recruit Script Supplemental Docs.doc Supplementary Document	2008-06-06
Appendix I1. State Recruit Script Supplemental Docs.doc Supplementary Document	2008-06-06
SS_A.doc Supporting Statement A	2008-06-06

IC Document Collections

IC ID	Document Title	Status
7087	RECRUITMENT OF STATES Form and Instruction	Modified
185555	STUDENTS 2009 AND 2011 NATIONAL YOUTH TOBACCO SURVEYS Form and Instruction	New
185554	TEACHERS' DATA COLLECTION CHECKLIST Form and Instruction	New
185553	RECRUITMENT OF SCHOOLS Form and Instruction	New
185552	RECRUITMENT OF DISTRICTS Form and Instruction	New

ICR Details

OMB Control No: 0920-0621	ICR Reference No: 200807-0920-001
Status: Historical Active	Previous ICR Reference No: 200509-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: 2009 and 2011 National Youth Tobacco Survey (NYTS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/08/2009
	Date Received in OIRA: 07/01/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	36 Months From Approved	01/31/2009
Responses	14,116	0	25,037
Time Burden (Hours)	10,213	0	18,644
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests OMB approval to conduct the National Youth Tobacco Survey (NYTS) in 2009 and 2011. The NYTS is a school-based survey involving nationally representative samples of students in grades 6-12 attending public and private schools. Minor changes to the survey instrument and the burden estimate are proposed. The NYTS provides national estimates of tobacco use behaviors, information about exposure to pro- and anti-tobacco influences, and information about racial and ethnic disparities in tobacco-related behaviors.

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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:
	73 FR 20294	04/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 33433	06/12/2008
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
RECRUITMENT OF DISTRICTS	H2	District-Level Recruitment Script for the National Youth Tobacco Survey
RECRUITMENT OF SCHOOLS	H3	RECRUITMENT OF SCHOOLS
TEACHERS' DATA COLLECTION CHECKLIST	J	TEACHERS' DATA COLLECTION CHECKLIST
STUDENTS 2009 AND 2011 NATIONAL YOUTH TOBACCO SURVEYS	F	STUDENTS 2009 AND 2011 NATIONAL YOUTH TOBACCO SURVEYS
RECRUITMENT OF STATES	H1	State-Level Recruitment Script for the National Youth Tobacco Survey

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ICR Summary 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	14,116	25,037	0	-10,921	0	0
Annual Time Burden (Hours)	10,213	18,644	0	-8,431	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: CDC is requesting approval of revisions to a currently approved ICR. Minor changes incorporated into this revision request include: slightly reduced estimated burden hours; the stratification of administrator burden associated with the Recruitment Scripts for the NYTS (Appendices H1-H3) by education agency level (state, district, or school); the inclusion of teacher burden hours associated with completing the Data Collection Checklist (Appendix J); and an updated title for the information collection, to accurately reflect the years in which the survey will be conducted. The reduction in burden hours results from a decrease in the targeted number of participating students resulting from a change in sampling strategy. Specifically, unlike prior NYTS information collections, the proposed information collection does not seek to oversample Asian students.

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Annual Cost to Federal Government: $919,096

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: 07/01/2008

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