Information Collection

National Youth Fitness Survey

IC 199004 under ICR 201010-0920-007 · OMB 0920-0237.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0237 can be found here:

Documents and Forms

Document Name Document Type
National Youth Fitness Survey Form
National Youth Fitness Survey NHANES 2012 GenIC NYFS Att. B Quest. 081911.docx Form
NHANES 2012 GenIC NYFS Att. A Protocol. 081911.docx Survey Protocol and Consents IC Document
NHANES NYFS Sup Stat A- final 091611.doc Sup Stmt Part A IC Document
NHANES NYFS Sup Stat B- final 090911.doc Sup Stmt Part B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Youth Fitness Survey	Agency IC Tracking Number:

IC Status: New

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	none	National Youth Fitness Survey	NHANES 2012 GenIC NYFS Att. B Quest. 081911.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: Health and Demographic Surveys Conducted in Probablity Samples of the US Population	FR Citation: 49 FR 37693

Number of Respondents: 4,385	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	4,385	0	0	0	0	0
Annual IC Time Burden (Hours)	4,385	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Survey Protocol and Consents	NHANES 2012 GenIC NYFS Att. A Protocol. 081911.docx	08/24/2011
Sup Stmt Part A	NHANES NYFS Sup Stat A- final 091611.doc	09/16/2011
Sup Stmt Part B	NHANES NYFS Sup Stat B- final 090911.doc	09/16/2011

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