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Recruitment of Schools
National Youth Tobacco Surveys (NYTS) 2015-2017
OMB: 0920-0621
IC ID: 185553
OMB.report
HHS/CDC
OMB 0920-0621
ICR 201412-0920-006
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⚠️ Notice: This information collection may be referencing outdated material.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 G1_School-level Recruitment Script for the National Youth Tobacco Survey.doc
Instruction
Attachment G2_School Letter of Invitation and NYTS Fact Sheet for Schools.doc
School Letter of Invitation
IC Document
Attachment G3_Letter to Agreeing Schools.doc
Letter to Agreeing Schools
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
Instruction
Attachment G1_School-level Recruitment Script for the National Youth Tobacco Survey.doc
Yes
Yes
Paper Only
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:
220
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
220
0
-24
0
0
244
Annual IC Time Burden (Hours)
110
0
-12
0
0
122
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
School Letter of Invitation
Attachment G2_School Letter of Invitation and NYTS Fact Sheet for Schools.doc
12/15/2014
Letter to Agreeing Schools
Attachment G3_Letter to Agreeing Schools.doc
12/15/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.