Recruitment Of Districts

2012 - 2014 National Youth Tobacco Survey (NYTS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:

Documents and Forms

Document Name Document Type
Attachment F-1. Recruitment Script for the NYTS (district version) - 06 08 2011.doc Other-WORD
Attachment F-2. Districtl Letter of Invitation - 06 08 2011.doc Attachment F-2 IC Document

Information Collection (IC) Details

IC Title:	RECRUITMENT OF DISTRICTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-WORD			Attachment F-1. Recruitment Script for the NYTS (district version) - 06 08 2011.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	70	80
Annual IC Time Burden (Hours)	75	35	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment F-2	Attachment F-2. Districtl Letter of Invitation - 06 08 2011.doc	09/15/2011

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