Att I1_Computer Survey (Screenshots)

2017 NATIONAL YOUTH TOBACCO SURVEY Computer Based Pilot Survey

OMB: 0920-1205

IC ID: 225941

Information Collection (IC) Details

View Information Collection (IC)

Att I1_Computer Survey (Screenshots) 16AWN
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att I1 - Computer Survey Screenshot Example 1 .jpg Yes Yes Fillable Fileable

Health Public Health Monitoring

 

6,100 0
   
Individuals or Households
 
   100 %

  Requested 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 6,100 0 6,100 0 0 0
Annual IC Time Burden (Hours) 3,558 0 3,558 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att I1A_ 2017 NYTS Computer Based Pilot (screenshots) Att I1A - Computer Survey Screenshot Example 1 .jpg 03/01/2017
Att I1B_NYTS Computer Based Pilot (sceenshots) Att I1B - Computer Survey Screenshot Example 2 .jpg 03/01/2017
Att I2 & 3_Parental Permission Packet Att I2 & I3_Parental Permission Form Distribution Script .docx 03/01/2017
Att I3_Parental Permission Packet (Spanish) Att I4_Parental Permission Form and Fact Sheet (Spanish Version).docx 03/01/2017
Att I5_Parental Reminder Notice Att I5_Parental Permission Form Reminder Notice (English Version).docx 03/01/2017
Att I6_Parental Reminder Notice (Spanish) Att I6_Parental Permission Form Reminder Notice (Spanish Version).docx 03/01/2017
Att I7_Q&A Att I7_NYTS QA Script.docx 03/01/2017
Att I8 Example Instrument Testing Activity Att I8_Example Instrument Testing Activity - 11 09 16.docx 03/01/2017
Att I9 Example Testing Activity Att I9_Example Testing Activity.docx 03/01/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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