F1. Guidelines For School District Contacts

National Youth Tobacco Surveys (NYTS) 2015-2017

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0621 can be found here:

Documents and Forms

Document Name Document Type
F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx Instruction
F2_District Invitation Letter-template.docx F2.District Letter of Invitation IC Document

Information Collection (IC) Details

IC Title:	F1. GUIDELINES FOR SCHOOL DISTRICT CONTACTS	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			F1_District-level Recruitment Script for the National Youth Tobacco Survey.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 153	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	153	3	150
Annual IC Time Burden (Hours)	77	2	75
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
F2.District Letter of Invitation	F2_District Invitation Letter-template.docx	04/25/2018

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