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Recruitment Of Schools
2012 - 2014 National Youth Tobacco Survey (NYTS)
OMB: 0920-0621
IC ID: 185553
OMB.report
HHS/CDC
OMB 0920-0621
ICR 201109-0920-004
IC 185553
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:
2024-01-19 - Revision of a currently approved collection
2022-04-06 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment G-1. Recruitment Script for the NYTS (school version) - 06 08 2011.doc
Other-WORD
Attachment G-2. School Letter of Invitation and NYTS Fact Sheet - 06 08 2011.doc
Attachment G-2
IC Document
Attachment G-3. Letter to Agreeing Schools - 06 08 2011.doc
Attachment G-3
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
RECRUITMENT OF SCHOOLS
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 G-1. Recruitment Script for the NYTS (school version) - 06 08 2011.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
244
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 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
244
0
111
0
0
133
Annual IC Time Burden (Hours)
122
0
55
0
0
67
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment G-2
Attachment G-2. School Letter of Invitation and NYTS Fact Sheet - 06 08 2011.doc
09/15/2011
Attachment G-3
Attachment G-3. Letter to Agreeing Schools - 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.