2013 - 2015 Youth Risk Behavior Surveys

Forms and Documents

Document Name	Status
SupSta B (0493).docx Supporting Statement B	2012-07-16
Appx N - Sampling and Weighting Plan.docx Supplementary Document	2012-07-16
Appx M - Sample Table Shells.doc Supplementary Document	2012-07-16
Appx L - IRB Approval Letter.doc Supplementary Document	2012-07-16
Appx K - Expert Reviewers for 1989 Consultations.doc Supplementary Document	2012-07-16
Appx C - 60dy FRN Cmet.docx Supplementary Document	2012-07-16
Appx B - 60dy FRN.PDF Supplementary Document	2012-07-16
Appx A - Autho Leg.doc Supplementary Document	2012-07-16
Appx J - Data Collection Checklist YRBS - supplemental docs.doc Supplementary Document	2012-07-16
Appx H3 - School-level Recruitment Script for the YRBS - supplemental docs.doc Supplementary Document	2012-07-16
Appx H2 - District-level Recruitment Script for the YRBS - supplemental documents.doc Supplementary Document	2012-07-16
Appx H1 - State-level Recruitment Script for the YRBS - supplemental docs.doc Supplementary Document	2012-07-16
Appx F - YRBS Questionnaire - supplemental documents.doc Supplementary Document	2012-07-16
Appx D - Rationale for Survey Questions.docx Supplementary Document	2012-07-16
SupSta A (0493).docx Supporting Statement A	2012-07-16

IC Document Collections

IC ID	Document Title	Status
6930	2013 and 2015 Youth Risk Behavior Survey Other-WORD	Modified
184922	2013 YRBS - Data Collection Checklist Other-WORD	Modified
184921	2013 YRBS - School-Level Recruitment Other-WORD	Modified
184920	2013 YRBS - District-Level Recruitment Script Other-WORD	Modified
184919	2013 YRBS - State-Level Recruitment Script Other-WORD	Modified

ICR Details

OMB Control No: 0920-0493	ICR Reference No: 201207-0920-009
Status: Historical Active	Previous ICR Reference No: 200805-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: 2013 - 2015 Youth Risk Behavior Surveys
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/07/2012
	Date Received in OIRA: 07/19/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved
Responses	10,794	0	0
Time Burden (Hours)	7,822	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The school-based National Youth Risk Behavior Survey (YRBS) is a biennial survey of high school students that assesses priority health risk behaviors related to the major preventable causes of mortality, morbidity, and social problems in the U.S.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Helath 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:
	77 FR 11543	02/27/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 40888	07/11/2012
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
2013 and 2015 Youth Risk Behavior Survey
2013 YRBS - State-Level Recruitment Script
2013 YRBS - District-Level Recruitment Script
2013 YRBS - School-Level Recruitment
2013 YRBS - Data Collection Checklist

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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	10,794	0	0	10,794	0	0
Annual Time Burden (Hours)	7,822	0	0	7,822	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: No

Burden Reduction Due to:

Short Statement: This is a reinstatement with minor changes which includes: title update to reflect years in which survey will be conducted; modification of questionnaire; and an increase in sample size based on refinement of sample design.

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Annual Cost to Federal Government: $481,218

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 07/19/2012

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