2017 and 2019 Youth Risk Behavior Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2017-2019 Youth Risk Behavior Survey	Form and Instruction	Modified	Available
2017-2019 Data Collection Checklist	Form and Instruction	Modified	Available
2017-2019 School-Level Recruitment Script	Form and Instruction	Modified	Available
2017-2019 District-Level Recruitment Script	Form and Instruction	Modified	Available
2017-2019 State-Level Recruitment Script	Form and Instruction	Modified	Available
App P Changes 2017 and 2019 National YRBS.docx	Supplementary Document	Uploaded 2016-06-08	Available
App O3b_Letter to Agreeing Schools.docx	Supplementary Document	Uploaded 2016-06-08	Available
App O3a_YRBS Fact Sheet for Schools.docx	Supplementary Document	Uploaded 2016-06-08	Available
App O3_Letter Invitation School Admins.docx	Supplementary Document	Uploaded 2016-06-08	Available
App O2_Letter Invitation School Districts.docx	Supplementary Document	Uploaded 2016-06-08	Available
App O1_Letter Invitation States.docx	Supplementary Document	Uploaded 2016-06-08	Repair queued
App N1_Letter-TeachersParticipating Schools.docx	Supplementary Document	Uploaded 2016-06-08	Repair queued
App N2_Make-up List and Instructions.docx	Supplementary Document	Uploaded 2016-06-08	Available
App M_Sampling and Weighting Plan.docx	Supplementary Document	Uploaded 2016-06-08	Available
App L_Example Table Shells.docx	Supplementary Document	Uploaded 2016-06-08	Available
App I_IRB Approval Letter.pdf	Supplementary Document	Uploaded 2016-06-08	Available
App H5_ParentPermissionDistribution Script.docx	Supplementary Document	Uploaded 2016-06-08	Available
App H4_ParentPermissionReminderSpanish.docx	Supplementary Document	Uploaded 2016-06-08	Repair queued
App H3_ParentPermissionReminderEnglish.docx	Supplementary Document	Uploaded 2016-06-08	Available
App H2_ParentPermission & Fact SheetSpanish.docx	Supplementary Document	Uploaded 2016-06-08	Available
App H1_ParentPermission & Fact SheetEnglish.docx	Supplementary Document	Uploaded 2016-06-08	Available
App G_Survey Administrator Script.docx	Supplementary Document	Uploaded 2016-06-08	Available
App E_Expert Reviewers for the 1989 Consultations.docx	Supplementary Document	Uploaded 2016-06-08	Repair queued
App D_Rationale for Survey Questions.docx	Supplementary Document	Uploaded 2016-06-08	Available
App C_60-Day Public Comment.pdf	Supplementary Document	Uploaded 2016-06-08	Available
App B_ 60 Day FRN.pdf	Supplementary Document	Uploaded 2016-06-08	Available
App A_Authorizing Legislation.docx	Supplementary Document	Uploaded 2016-06-08	Available
SS Part B.docx	Supporting Statement B	Uploaded 2016-06-08	Available
SS Part A.docx	Supporting Statement A	Uploaded 2016-06-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6930	2017-2019 Youth Risk Behavior Survey	Form and Instruction	Modified
184922	2017-2019 Data Collection Checklist	Form and Instruction	Modified
184921	2017-2019 School-Level Recruitment Script	Form and Instruction	Modified
184920	2017-2019 District-Level Recruitment Script	Form and Instruction	Modified
184919	2017-2019 State-Level Recruitment Script	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0493	ICR Reference No: 201605-0920-018
Status: Historical Active	Previous ICR Reference No: 201207-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0493
Title: 2017 and 2019 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: 11/22/2016
	Date Received in OIRA: 06/09/2016
Terms of Clearance: Approval is granted contingent upon agreement that, before submitting the next renewal/reinstatement to OMB, CDC will conduct a peer review of the YRBS study design and implementation approach, and then refresh/update the design and implementation protocol accordingly. The review should engage experts from the National Center for Education Statistics to ensure that YRBS benefits from cross-agency expertise in conducting school-based surveys. A peer review report should be submitted with the next renewal/reinstatement. The YRBS should collaborate with CDC’s NYTS to prevent duplicative collection of youth tobacco use information and avoid competing national youth tobacco use estimates.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	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. Minor changes incorporated into this reinstatement request include: an updated title for the information collection to accurately reflect the years in which the survey will be conducted, a slightly modified questionnaire, and a reclassification of urban status for schools based on a different variable now present in the commercially available sampling frame. The proposed research will use the previously OMB-approved sampling strategy, recruitment methods, and data collection procedures to conduct the YRBS among nationally representative samples of 9th-12th grade students in public and private schools in the U.S.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health 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:
	81 FR 10624	03/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 36918	06/08/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
2017-2019 Youth Risk Behavior Survey	NA	Youth Risk Behavior Questionnaire 2017 - 2019
2017-2019 State-Level Recruitment Script	NA	State-Level Recruitment Script for YRBS
2017-2019 District-Level Recruitment Script	NA	District-Level Recruitment Script for YRBS
2017-2019 School-Level Recruitment Script	NA	School-Level Recruitment Script for YRBS
2017-2019 Data Collection Checklist	NA	Data Collection Checklist for YRBS

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ICR Summary of Burden

table that charts list 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: Submission is a Reinstatement with Change that is done so that collection will more accurately reflect the years in which the survey will be conducted.

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Annual Cost to Federal Government: $491,824

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: 06/09/2016

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