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Recruitment Of Districts
2012 - 2014 National Youth Tobacco Survey (NYTS)
OMB: 0920-0621
IC ID: 185552
OMB.report
HHS/CDC
OMB 0920-0621
ICR 201309-0920-012
IC 185552
( )
⚠️ Notice: This information collection may be referencing outdated material.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 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
View Information Collection (IC)
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
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:
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 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
150
0
0
0
0
150
Annual IC Time Burden (Hours)
75
0
0
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
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.