Information Collection

Att F1_District_level Recruitment Script

IC 225825 under ICR 201708-0920-020 · OMB 0920-1205.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx	Other-WORD
Att F2_District Letter of Invitation.docx F2_District Letter of Invitation	IC Document

IC Title:

Agency IC Tracking Number:

16AWN

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
F2_District Letter of Invitation	Att F2_District Letter of Invitation.docx	02/27/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.